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THE GREAT GENERATION OF KAZAKHSTAN:
INSIGHT INTO THE FUTURE
ALMATY – 2005
The United Nations Development Programme with participation of the United Nations Population Fund
commissioned a group of authors to prepare the National Human Development Report for 2005
UNDP is the UN’s global development network, advocating for change and connecting countries to
knowledge, experience and resources to help people build a better life. We are on the ground in 166 coun-
tries, working with them on their own solutions to global and national development challenges. As they
develop local capacity, they draw on the people of UNDP and our wide range of partners.
Report materials could be reproduced in whole or in part, without prior permission of UNDP, provided
proper reference is made to this publication.
The analysis and recommendations expressed in this report do not necessarily represent the views of
UNDP and UNFPA. This Report is an independent publication jointly produced by the groups of Kazakh-
stani experts commissioned by UNDP and supported by UNFPA.
NATIONAL HUMAN DEVELOPMENT REPORT – 2005
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The dynamic market transformation that took place after independence has enabled signifi cant achievements by Kaza-
khstan’s economy and allowed the initiation of large-scale outreach programmes.
Pensions and benefi ts have been raised and so have wages in the Government-funded sector. In healthcare and educa-
tion funding has been improved with a set of measures underway to enable systemic changes. Much focus has been on
rural development and the State Program of Residential Construction.
President Nazarbaev identifi ed sustainably improving quality and standard of living as a priority to be achieved for the
country to become one of the top 50 most competitive countries.
In this regard, the Government is focused on developing mechanisms of targeted social assistance for the poor and
disadvantaged groups of the population and further improving the standards of social security and social services.
This National Human Development Report is a wealthy source of information and can be a good starting point for the
discussion of issues important for human development.
It should be emphasized how topical and useful the UNDP-commissioned research on the role and needs of the older
population is. It is even more important now when Kazakhstan is going through radical social and economic changes
and shaping new priorities for the future.
Finally, I would like to thank UNDP and the authors of the 2005 National Human Development Report for Kazakhstan
for their good work and express confi dence that their future endeavors in Kazakhstan will be a success.
FOREWORD BY MR. DANIAL AKHMETOV PRIME-MINISTER OF THE REPUBLIC OF KAZAKHSTAN
NATIONAL HUMAN DEVELOPMENT REPORT – 2005
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In recent years the international research community has focused more on human measurements of economic devel-
opment, which is captured in many strategic, programming and analytical documents of international organizations.
Economic development should be translated into more and better choices, potential and capabilities of people. Human
development enables poverty alleviation, democratic development and social and political stability in society, which
along with other issues are topics of the yearly National Human Development Reports published in Kazakhstan since
1995.
This year, the 60th anniversary of the end of the Second World War and the founding of the United Nations, UNDP in
cooperation with UNFPA have prepared the tenth National Human Development Report. The Report analyses popula-
tion ageing in Kazakhstan from the perspective of human development - a topic not suffi ciently studied but crucial for
Kazakhstan’s further development.
National policy in many countries including Kazakhstan needs to incorporate the issue of ageing and appropriate
support mechanisms for older people into the mainstream of social and economic planning. Policies for employment,
health, incomes and social care should take account of the needs of older people. Alongside the government, civil so-
ciety, research and academic institutions, professional organizations, mass media and businesses should be extensively
involved in improving the living standards and status of older people. Such organizations’ involvement in developing
and monitoring targeted programs will facilitate coverage of various spheres of older people’s lives, making national
policies more effective. Bilateral and multilateral donors must also take account of the contributions and needs of older
people as a critical element in poverty reduction.
This Report is based on independent research made by prominent national experts, whose views may not necessarily be
those of the Government of the Republic of Kazakhstan or the United Nations. I wish to use this opportunity to extend
my deep appreciation to all individuals and organizations that contributed to the development of this document.
I believe that this Report will stimulate a wide national dialogue on the role and status of a great generation from the
point of view of human development in Kazakhstan!
FOREWORD BY MRS. YURIKO SHOJI UN RESIDENT COORDINATOR IN THE REPUBLIC OF KAZAKHSTAN
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Over the last decades many countries have faced an increase in the proportion of older people in their total populations,
which is called population ageing. Global ageing is an unprecedented phenomenon in human history and therefore all
situation assessments are based on estimations and projections. However most researchers believe such processes will
have serious implications in many fi elds of life and need to be studied and analyzed, including an analysis from the
perspective of the human development implications.
Population ageing is observed in both the CIS neighbor states and developed European countries. The UN experts
estimate that the proportion of people aged 65+ will grow in the overall populations of such countries as Austria, Swit-
zerland, Germany, Russia, Ukraine, etc.
Population ageing is a relatively new phenomenon for Kazakhstan. According to the 1999 census, 6.7% of Kaza-
khstan’s populations are people aged 65 and more, which indicates that Kazakhstan is at the threshold of ageing. The
fact that Kazakhstan is become a country with a predominant share of older population suggests that policies concern-
ing many issues need to be revised and a common concept of the state policy relating to older people developed.
The authors of the report hope that its content and conclusions will enable a different perspective from which the role
of the great generation in Kazakhstan’s society can be looked at.
Authors’ group
FOREWORD BY THE AUTHORS’ GROUP
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This National Human Development Report was made possible through support, assistance and valuable contributions
from many entities and individuals.
The authors extend their sincere gratitude to Mr. A. Ivanov, Human Development Program Offi cer of the UNDP Re-
gional Bureau for Europe and the CIS, and Mr. N. van Himvegen, Deputy Director of the Netherlands Interdisciplinary
Demographic Institute for their sound comments and valuable recommendations.
Exceptionally useful comments and recommendations were provided by the UN Development Program and the UN
Population Fund. Special thanks for substantial support and assistance should go to Ms. Yuriko Shoji, UNDP Resident
Representative in Kazakhstan, Mr. Gordon Johnson, UNDP Deputy Resident Representative in Kazakhstan, and Ms.
Aida Alzhanova, UNFPA Assistant Representative.
The authors would like to thank Ms. Djoldasbaeva and Mr. Shalakhmetov, deputies of the Mazhilis of the RK Parlia-
ment, Mr. Babakumarov, of the RK Presidential Administration, and Ms. Meshimbaeva, Center for System Research,
for their invaluable contributions.
The authors and the Task Force are sincerely thankful to Mr. Kaliuly, Chairman of the UN Association, for his support
and signifi cant contribution to the promotion and distribution of the Report.
The Report was revised by many governmental agencies such as the Ministry of Foreign Affairs, Ministry of Labor
and Social Protection, Ministry of Education & Science, Ministry of Economy & Budget Planning, Ministry of Health,
Agency for Civil Service Affairs, and the Pubic Administration Academy under the President of Kazakhstan.
Thanks are also extended to the RK Statistics Agency, UN Agencies and international organizations for statistical data
and research materials.
A signifi cant contribution to the preparation and revision of the Report’s outline was made by the participants of a
roundtable held in Astana in October 2005. The authors would like to thank all participants for a constructive discus-
sion and recommendations. Special thanks go to the International Institute of Contemporary Politics and NGO Ardager
for comments and suggestions regarding the structure and content of the Report.
ACKNOWLEDGEMENTS
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FOREWORD BY MR. DANIAL AKHMETOV, PRIME-MINISTER OF THE
REPUBLIC OF KAZAKHSTAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
FOREWORD BY MRS. YURIKO SHOJI, UN RESIDENT COORDINATOR IN THE
REPUBLIC OF KAZAKHSTAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
FOREWORD BY THE AUTHORS’ GROUP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ACKNOWLEDGEMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
TABLE OF CONTENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
EXECUTIVE SUMMARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
ACRONYMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
INTRODUCTION. POPULATION AGEING IN THE WORLD AND IN KAZAKHSTAN . . . . . . . 13
CHAPTER 1. HUMAN DEVELOPMENT IN KAZAKHSTAN AND ITS INDICATORS . . . . . . . . 171.1 Trends in economic development and allocation from the national budget to social
needs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181.2 Human development indicators for different age groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191.3 Population by age groups and their social and demographic status: trends and
prospects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
CHAPTER 2. POVERTY AND INCOME OF OLDER PEOPLE . . . . . . . . . . . . . . . . . . . . . . . . . . . . 252.1 Poverty profi les and factors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 262.2 Regional disparities in poverty in Kazakhstan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 282.3 Poverty in older age . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 282.4 Gender and age dimensions of poverty. Vulnerability of older people. . . . . . . . . . . . . . . . . . . . . 302.5 Pension coverage for human development . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
CHAPTER 3. LABOR MARKET, EMPLOYMENT AND OLDER PEOPLE . . . . . . . . . . . . . . . . . 373.1 Labor market and gender dimension of employment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 383.2 Employment of older people in Kazakhstan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 403.3 Economically active population and involvement of the retired population in
economic development in the CIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 403.4 Employment of older people worldwide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 413.5 Informal economy and income in old age . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 413.6 Credit policies: opportunities for the elderly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 423.7 Migration processes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
CHAPTER 4. HEALTHY AGEING: HEALTHCARE AND SOCIAL SECURITY . . . . . . . . . . . . . . 474.1 Health of older people in Kazakhstan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 484.2 Healthy ageing and its social, economic and environmental dimensions in
Kazakhstan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 504.3 Access to healthcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 514.4 Special medical care for older people in Kazakhstan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 524.5 Older people and disability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 524.6 Integrated medical and social services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
CHAPTER 5. EDUCATION FOR ALL GENERATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 595.1 Ageing in the context of education in Kazakhstan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 605.2 Importance of education for older people . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 605.3 Access of older people to education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 625.4 Education and ageing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 645.5 Education as a factor in building older people’s capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
CHAPTER 6. OLDER PEOPLE IN THE POLITICAL AND SOCIAL LIFE OF THE STATE . . . . 696.1 Age-specifi c indicators of political and social activity of the population . . . . . . . . . . . . . . . . . . 706.2 Analysis of programs of political parties from the perspective of older people’s
involvement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 726.3 National and international NGOs and donors from the perspective of older people’s
involvement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 746.4 Governmental agencies from the perspective of older people’s involvement . . . . . . . . . . . . . . 74
CONCLUSIONS. RECOMMENDATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
GLOSSARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
ANNEXES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89Annex 1. Technical notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90Annex 2. Statistical annexes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94Annex 2. United Nations principles for older persons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
BIBLIOGRAPHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
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TABLESTable №1. Share of population aged 65+ in EU countries (%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14Table 1.1. Proportion of people not surviving to age 60 by sex and age, 2003 (%) . . . . . . . . . . . . . . . 20Table 1.2. Kazakhstan’s Human Development Index, 1990-2004 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20Table 2.1. Income inequality in Kazakhstan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27Table 2.1. Income inequality in Kazakhstan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27Table 2.2. Regions by proportion of poor people . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28Table 2.3. Breakdown of older people in surveyed households by sex and income spent on
consumption, 2003 (%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28Table 2.4. Ratio of wages and pensions to subsistence minimum, 2000-2004, tenge . . . . . . . . . . . . . 29Table 2.5. Wages of men and women workers, 1999-2003, tenge . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31Table 3.1 Main labor market indicators in Kazakhstan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38Table 3.2. Population by economic activity status and age, numbers of people . . . . . . . . . . . . . . . . . . 39Table 3.4. International migrants by ethnic origin (people) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43Table 3.5. Emigrants and immigrants by age (people) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43Table 3.6. External migration, Kazakhstan, 1999-2004 (people) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44Table 4.1 Mortality rate per 1,000 people by gender and age, 2003 . . . . . . . . . . . . . . . . . . . . . . . . . . . 49Table 4.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55Table 6.1. Socio-demographic characteristics of electorate of leading political parties,
2004, by age, % of supporters of each party (block, union) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72Table 6. 2. Positioning of social expectations of pensioners in program documents of
political parties of Kazakhstan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
FIGURESFigure 1.1 Allocation from national budget to social needs, 1991-2004 . . . . . . . . . . . . . . . . . . . . . . . 18Figure 1.2. Regional HDIs built on incomes spent on consumption . . . . . . . . . . . . . . . . . . . . . . . . . . 21Figure 1.3. Age composition of Kazakhstan’s population at year start, 2003-2030 . . . . . . . . . . . . . . . 23Figure 2.1. Real change in GDP, wages and assigned pensions, 1991-2004, % of 1990 . . . . . . . . . . . 26Figure 2.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27Figure 2.3. Main indicators of poverty status in Kazakhstan, 2001-2005 . . . . . . . . . . . . . . . . . . . . . . 30Figure 3.1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38Figure 3.2. Men and women in the Parliament of Kazakhstan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39Figure 3.3. Trends in the share of informal economy in GDP, Kazakhstan, 1990-2004,
% of GDP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41Figure 4.1. Trends in the number of tuberculosis cases in Kazakhstan (as of 31.07.05
versus 2004), %. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49Figure 4.2. Causes of death of population aged 60+, 2004. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50Figure 4.3. Hospitalized patients by age, Kazakhstan, 2002-2004. . . . . . . . . . . . . . . . . . . . . . . . . . . . 51Figure 4.4. Causes of hospital treatment of older patients, 2004 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51Figure 4.5. Primary disability by age . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53Figure 4.6. Percentages of men and women with primary disability, 2004 . . . . . . . . . . . . . . . . . . . . . 53Figure 4.7. Older people diagnosed with primary disability by main cause of disability . . . . . . . . . . 54
INSERTSInsert 1.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18Insert 2.1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27Insert 2.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30Insert 2.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32Insert 2.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34Insert 3.1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38Insert 3.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40Insert 3.3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42Insert 4.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52Insert 5.1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60Insert 5.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63Insert 6.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71Insert 6.2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
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Today’s demographic situation in Kazakhstan is charac-
terized by sustained growth in the proportion of older
people in the population, which is part of global popula-
tion ageing. Population ageing - the increase in the pro-
portion of older people - is caused by a decrease in the
total fertility rate and improved life expectancy and has
become a predominant worldwide demographic trend.
The UN estimates suggest that, by 2050, the world will
have around 1.5 billion older people, which is 14.7% of
the total global population.
As an important process seriously affecting the future
development of many countries and entire regions, pop-
ulation ageing is a focal area for international organisa-
tions. The primary international document concerning
ageing is the International Plan of Action on Ageing,
which guides understanding of ageing and the develop-
ment of related policies and programmes. This document
was approved by the UN General Assembly in 1982 and
aims to build capacities of governments and civil socie-
ties to address effectively the challenges posed by ageing
and to consider the development opportunities of older
people. At the Second World Assembly on Ageing held
in April 2002 UN member countries adopted a Political
Declaration and the Madrid International Plan of Action
on Ageing, which went beyond defi ning ageing policies
from a social security perspective and focused on the
need to discuss development policies.
Population ageing is a relatively new phenomenon for
Kazakhstan and, therefore, has not been assessed or ad-
equately addressed in national policy documents and
legislation. At the same time, the proportionately larger
older population is beginning to affect the social and
economic situation in Kazakhstan.
This report is the fi rst in-depth research into the role
and needs of older people from the perspective of human
development in Kazakhstan. It analyzes the country’s
basic social and economic performance indicators and
the increased proportion of older people and its implica-
tions for the economy, healthcare, pension schemes, and
intergenerational relations, including family relations.
The report seeks to analyze the current and future social
and economic status of Kazakhstan from the standpoint
of population ageing and to identify issues related to hu-
man development opportunities.
It also seeks to raise public awareness of the key human
development issues in the context of ageing and give
recommendations for special programmes/interventions
at the national and local levels.
The National Human Development Report consists of
introduction, six chapters and conclusions and reviews
and analyzes such areas as human development and old-
er people; labor market and employment; healthy ageing
and high-quality healthcare, education for all genera-
tions; older people’s participation in political and social
life.
• Human development and older people
Basic human development indicators embrace three
main human development components, which are lon-
gevity, education and living standards. Each of these
components embraces important opportunities. For ex-
ample, longevity means an opportunity to live a long and
healthy life; education means an opportunity to acquire
knowledge and communicate; while living standards im-
ply access to resources required for a decent living and
the ability to be socially mobile and involved in the life
of society. The most recent Global Human Development
Report places Kazakhstan 80th in the HDI ranking based
on domestically-made estimations of life expectancy
(66.2 years), literacy rate (99.5%), enrolment rate (84%)
and GDP (PPP USD7,260). The report provides detailed
analysis of trends in Kazakhstan’s human development
since 1990.
Ageing results from demographic indicators changing
over a long time, changed reproduction and migration.
This process differs between countries, in most of which
it is a result of decreased mortality and increased life ex-
pectancy. What distinguishes population ageing in Ka-
zakhstan is that it results from two factors: decreases in
the fertility rate and a high death rate, especially among
men of working age.
The report provides projections of Kazakhstan’s popu-
lation till 2030 based on estimated annual increases/de-
creases of the population and the age/sex breakdown of
the population at the beginning of 2003. The review of
the projected age composition of the country’s popula-
tion shows a rise in the proportion of the population aged
65+ to 7.8% in 2005, although by 2010-2015 it will drop
to 7.2%. After that the population will be clearly ageing,
which will result in an increase to 11.5% in the propor-
tion of older people by 2030. Such projections justify
the development of social and economic policies taking
into account demographic trends in order to provide for
decent maintenance in old age.
• Labor market, income and employment
At the current stage, Kazakhstan’s economic and social
reforms aim to facilitate social and human development.
Decent old age provision is a priority for a people-cen-
tered state, which Kazakhstan is. The country has always
treated the matter as a priority. The main rationale behind
this is that most retirees have only one income source,
which is their pension benefi t. The pension’s purchasing
power directly affects the welfare, longevity and quality
of life of retired people.
Social policy interventions identifi ed in the State Pover-
ty Reduction Program for 2003-2005 were partly aimed
at raising living standards of older people in Kazakhstan.
The Program targeted a one third reduction in poverty
incidence in 2005 compared with 2002, which was
achieved by 2004. Continued interventions to eradicate
poverty give Kazakhstani people better chances to live
a long and healthy life, access adequate education, par-
EXECUTIVE SUMMARY
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ticipate in social life and have suffi cient income to meet
other socio-cultural needs.
High economic growth rates are having a positive effect
on the employment status of Kazakhstan’s population.
Workers aged 60+ make up 3.5% of all those employed,
or 16% of the total population aged 60+, of which 23.5%
are men and 11.6% women. Globally, proportions of
older workers tend to decrease in the older age groups.
In Kazakhstan this is more evident among women.
Older people tend to be employed more in rural rather
than urban areas. This is attributable to seasonal agricul-
tural work, which is an additional source of income for
rural households and provides additional work for older
people. This situation is also associated with limited em-
ployment opportunities for young people who tend to
migrate to urban areas in search of work. This accounts
for a decline in rural population size and an increase in
the proportion of older workers in rural areas.
In addition to access to basic socio-economic resources
and political freedoms, access to fi nancial services, cred-
it, saving and insurance is one of the most illustrative in-
dicators of human development in society. Kazakhstan’s
socio-economic policies prioritize support to low-in-
come groups through small enterprise development as
one of the most effective approaches and microcredit for
individual entrepreneurs as one of the key components.
Few older people can access microcredit to better their
fi nancial welfare, because individual credit terms are
largely unacceptable for them. By ensuring more fl exible
and softer credit terms for older people, the Government
could increase their chances of achieving better living
standards.
• Healthy ageing and high-quality healthcare
Health and quality of life are the most prominent prob-
lems the older population faces. Morbidity in old age has
some specifi c features such as the diverse and chronic
nature of diseases. The top four diseases of old age are:
1. cardio-vascular diseases
2. cerebrovascular disorders, mainly cerebrovascu-
lar accidents
3. Locomotive disorders
4. malignant tumors
Older people get sick more, which results in more
visits to outpatient facilities: almost twice as many as
other age groups. Despite the fact that disease incidence
rates grow over time, inpatient care for people older than
60 remains the same, which does not appear to fi t real-
ity.
Mortality rates are a major criterion for assessing and
characterizing the health status of the population. Death
is part of the natural life cycle but in society death has
social implications. The crisis of the transition period in-
evitably affected the health status of Kazakhstani people
adversely. From 1995 to the present mortality rates have
been high. As in most countries, Kazakhstani men die
younger than women. Predominant male versus female
mortality rates start in young age groups. For example, at
ages 25-29 the predominance is caused by high mortal-
ity caused by accidents, but at older ages by high male
mortality caused by cardio-vascular diseases. The data
analysis in the report suggests the existence of male
over-mortality in Kazakhstan.
Lack of gerontologic services, high disease incidence,
disability and mortality rates of older people, as well as
legal limitations of social guarantees in old age reinforce
the need to identify and develop strategies to address
ageing-induced problems in Kazakhstan, one of which
is a healthy ageing strategy.
• Education for all generations
The report looks at education as a key factor contributing
to better life quality of older people. Here we should dis-
tinguish between the importance of education acquired
throughout life as a guarantee of decent living in old age
and the importance of education after offi cially becom-
ing a retiree when a) further education is important be-
cause it allows older people to acquire new knowledge
and skills; b) older people’s experience gained through-
out life and professional qualities gained as a result of
life-long learning are used by the educational system,
society and family in order to satisfy common needs. In
any case, education in the context of ageing is more than
bare provision of further education for older people at
their request.
After retiring or choosing to retire, any person aged 65+
is entitled to continue to live an economically active and
socially useful life. However, the fact that older people
are poorly adapted to the market environment and new
social relations limits their capacity to participate in dif-
ferent aspects of social life such as satisfying their per-
sonal spiritual development needs and engaging in new
activities useful for family and society. In this case, older
people face the need to further their education, acquire
new knowledge, competencies and skills regardless of
their existing educational level.
Obviously, older people’s involvement in public life and
labor activities depends on their activity and interest to
respond to new environments by acquiring new skills.
However, it does not only depend on the activity and
fl exibility of older people. Our society traditionally con-
siders the elderly as non-labor resources. This indicates
to what extent older people’s capacity is important for
both individuals and society as a whole. In this context,
it becomes increasingly important that society supports
its older members. As a public life sphere, education has
both formal and informal structural elements that seek
to provide educational services to people of all ages, in-
cluding older people, to the full extent of their learning
abilities and preferences.
• Older people in the political and social life of the state
Whether the political and social activity of the popula-
tion depends on age may be observed in the political and
social culture and political socialization embracing the
following three components:
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• awareness of and interest in politics and public
life;
• confi dence in political and social institutions;
• political and social participation.
In Kazakhstan older people appear to be fairly interested
in politics and public life. They trust political institutions
and participate in political life. However, older people
confi de and participate in civil society less, although
they have skills and knowledge that could be widely em-
ployed in local communities.
There are no specifi c social and political characteristics
that can be attributed to older people, since they vary
depending on the conditions of socialization. In Kaza-
khstan ageing leads to increasing numbers of people so-
cialized in a different period than today’s older people.
As a result, people joining the older age group by 2015
will have different political and social behaviors, i.e.
they will be more socially and economically active but
less involved in political life and less trusting of political
institutions.
There are no special government interventions focused
on the older age group. Interventions related to older
people are either focused on subgroups such as veterans
of the Second World War or disabled older people or re-
tirees as a whole by providing special benefi ts. Interna-
tional and national NGOs, voluntary organisations and
associations practice the same. To a large extent indefi -
nite strategies related to older people are associated with
the varied interests of different stakeholders and a lack
of awareness of the problem in Kazakhstan. Overall, the
relative political and social activity of Kazakhstan’s old-
er population remains largely underutilized.
• Conclusions and recommendations
Population ageing presents new challenges and, at
the same time, provides new opportunities to improve
the lives of some people and establish a new socio-eco-
nomic and cultural environment. Policies providing for
investment in social relations, human resources and the
economy can prevent unnecessary dependency in old age
or as a result of population ageing. Provided effective
investment is made in advance, ageing can be changed
from a resource-depleting factor to one that builds hu-
man, social, economic and environmental capacity.
In this context, based on review and analysis of popula-
tion ageing in Kazakhstan, the fi nal section of the report
offers the following:
• developing state policies and implementation
mechanisms
• creating a legislative framework
• creating infrastructure
• providing information
• institutional development and capacity building
for stakeholders.
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ADB – Asian Development Bank
AIDS – Acquired Immunodefi ciency Syndrome
AOC – apartment owners’ cooperative
APK – Agrarian Party of Kazakhstan
CARK – Central Asian Republics and Kazakhstan
CIS – Commonwealth of Independent States
CPK – Civil Party of Kazakhstan
CPK – Communist Party of Kazakhstan
CPPK – Communist People’s Party of Kazakhstan
DCK – Democratic Choice of Kazakhstan
DPK – Democratic Party of Kazakhstan
EBRD – European Bank for Reconstruction and
Development
EU – European Union
GDI – Gender Development Index
GDP – Gross Domestic Product
GRP – Gross Regional Product
HDI – Human Development Index
HDR – (Global) Human Development Report
HEI – higher education institution
HIV – human immunodefi ciency virus
HPI – Human Poverty Index
ILO – International Labor Organization
IOM – International Organization for Migration
JSC – joint stock company
KCS – knowledge, competencies and skills
LE – life expectancy
MA – Ministry of Agriculture of the Republic of
Kazakhstan
MDG – Millennium Development Goal
MEBP – Ministry of Economy and Budget Planning of
the Republic of Kazakhstan
MEC – Ministry of Education and Science of the
Republic of Kazakhstan
MH – Ministry of Health of the Republic of
Kazakhstan
MLSP – Ministry of Labor and Social Protection of the
Republic of Kazakhstan
MM – mass media
MSS – medical and social services
NGO – non-governmental organization
NHDR – National Human Development Report
PPK – Patriot Party of Kazakhstan
PPP – purchasing power parity of national currency
RK – Republic of Kazakhstan
RKSA – Republic of Kazakhstan Statistics Agency
SWW – Second World War
TFR – total fertility rate
UGS – ungraded school
UN – United Nations
UNDP – United Nations Development Programme
UNFPA – UN Population Fund
UNICEF – UN Children’s Fund
USSR – Union of Soviet Socialist Republics
VS – vocational school
WB – World Bank
WHO – World Health Organization
ACRONYMS
NATIONAL HUMAN DEVELOPMENT REPORT – 2005
POPULATION AGEING IN THE WORLD AND IN KAZAKHSTAN
INTRODUCTION
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Population ageing is a challenge many countries now
face. Estimates suggest that by 2050 the world’s older
population will outnumber the young, a situation which
some developed and developing countries experienced
back in 1998.
Population ageing, which is the increase in the pro-portion of older people, is caused by a decrease in the total fertility rate and improved life expectancy and has now become the case almost everywhere. Popula-
tion ageing emerged in France in the late 18th century
and then extended over all developed nations. However,
the older population has never been growing so rapidly
and extensively as it is today.
Researchers of population ageing and related issues
take different approaches to defi ning age groups. N. Sa-
chuk cites data of the WHO European Regional Bureau
(1963), which suggests that people aged 60-74 are older
people, those aged 75+ are old people, while people
aged 90+ are considered long-livers. In 1982 the World
Health Organization identifi ed the age of 65 as an indica-
tor of older age, and this is now the indicator recognized
in most states.1
Population ageing impacts various areas such as econom-
ic development, savings, tax use and inter-generational
transfers. The social impact is on the population’s health
status, family composition, lifestyles, housing condition
and migration. Not only is ageing a demographic phe-
nomenon, it can also determine political processes, i.e.
ageing electorate and the issue of representation of inter-
ests of different age groups in political life.
Population ageing is accompanied by greater dependency
of older people on the economically and socially active
population. Poor health, an unstable fi nancial situation
and lower competitiveness on the labor market at pre-
retirement and retirement age are typical characteristics
of the status of most older people in society. Many older
people feel poorly adapted and excluded from today’s
socio-economic environment. Families have been seen
to become less responsible for taking care and meeting
the needs of their elderly.
Trends in population ageing vary between countries, de-
pending on their economic and social development and
existing policies. Analysis of demographic indicators of
many European countries shows a consistent trend to-
wards ageing of the population. In 1997 the percentage
of older persons in Germany was 15%, while by 2020
this is predicted to increase to 22%. In the UK it was
16% in 1997, but is expected to increase to 21% by
2020. In France 15% of the population was older than
65 in 1997, while this proportion is likely to rise to 19%
in 2020. Other western and eastern European countries
may be expected to demonstrate similar trends. In 1997
18% of Sweden’s population was aged 65+, already one
of the highest in Europe, but by 2020 21 per cent2 of the
population will be over 65 years.
1 Breev B.D. About population ageing and depopulation. // SOCIS. - 1998.
- N2. - p. 62-63.
2 World Economy and International Relations, 1999, № 10.
Table №1. Share of population aged 65+ in EU coun-tries (%)
Country 1975 1997 2020 (es-timates)
Austria 15 15 19
Belgium 14 16 18
Great Britain 14 16 21
Germany 14 15 22
Greece 13 16 18
Denmark 13 15 20
Spain 11 16 17
Italy 12 16 19
Luxembourg 14 14 20
Netherlands 11 13 19
Portugal 10 15 16
Finland 11 14 22
France 13 15 19
Sweden 15 18 21
For comparison:USA 10 12 16
Japan 8 15 21
The population of the Asia–Pacifi c region, where over
a half the entire older population lives, has been ageing
rapidly for the last 50 years. The proportion of older peo-
ple grew from 7% in 1950 to 9.4% in 2000 and is esti-
mated to increase to 15.4% in 2025 and 23.5% in 2050.3
It should be noted that population ageing is more rapid
in developing rather than developed countries. Moreo-
ver, developing countries will have less time to handle
the implications of this process. Today the median age
of the world’s population is 26 years. The country with
the youngest population is Yemen, with a median age of
15 years, and the oldest is Japan, with a median age of
41 years. By 2050, the world median age is expected to
have increased by ten years, to 36 years.
The countries of Asia-Pacifi c can be divided into three
groups, by speed of population ageing4:
1. Fast population ageing rate (25% of older people by 2050) - Hong Kong, China, Thailand, Singa-
pore, Sri Lanka, New Zealand, Kazakhstan, Az-
erbaijan, Georgia and Armenia.
2. Medium population ageing rate (between 20 and 25% of older people by 2050) – Mongolia,
Malaysia, Vietnam, India, Turkey, Uzbekistan,
Tajikistan and Kyrgyzstan.
3. Slow population ageing rate (20% of older peo-ple by 2050) – Cambodia, Philippines, Pakistan,
Bangladesh, the Laos People’s Democratic Re-
public and Turkmenistan.
Kazakhstan has crossed the threshold of population age-
ing relatively recently. However, this process will be-
3 M.Nizamiddin. Population ageing: policy responses to population ageing
in Asia and the Pacifi c http://www.unescap.org/esid/psis/population/
popseries/apss158/part1_4.pdf
4 World Population Ageing 1950-2050 (United Nations publication) / http://
www.un.org/esa/population/publications/worldageing19502050/index.htm
NATIONAL HUMAN DEVELOPMENT REPORT – 2005
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come far more rapid very soon. At the beginning of 1999
the proportion of people aged 65 and over was 6.7%,
versus 7.4% at the beginning of 20045. Kazakh experts
project this fi gure to grow to 11.5 by 2030.
As an important process seriously affecting the future
development of many countries and entire regions, pop-
ulation ageing is a focal area for international organisa-
tions. The fi rst international document concerning age-
ing is the International Plan of Action on Ageing, which
guides understanding of ageing and the development of
related policies and programmes. This document was ap-
proved by the UN General Assembly in 1982 and aims to
build capacities of governments and civil societies to ad-
dress effectively the challenges posed by ageing and to
consider the development opportunities of older people.
The International Plan contains 62 recommendations to
conduct scientifi c and applied research, collect and ana-
lyze data, and covers a number of areas such as social se-
curity, income and employment, education, healthcare,
family, housing and environment. The UN Principles to-
wards Older People adopted by the General Assembly in
1991 determine universal standards related to the status
of older people in fi ve key areas: independence, partici-
pation, care needs, self-fulfi llment and dignity.
At the Second World Assembly on Ageing held in April
2002 UN member countries adopted a Political Declara-
tion and Madrid International Plan of Action on Ageing,
which went beyond defi ning ageing policies from a so-
cial security perspective and focused on the need to dis-
cuss development policies. It was recognized that older
people were a powerful yet unused resource in society.
The document also gave recommendations on how to
adjust policies related to the elderly and to build a soci-
ety for people of all ages.
Demographic changes experienced by different coun-
tries, which are caused by population ageing, have a seri-
ous effect on economic development and the structure of
national expenditure. Most European countries already
have a heavy taxation burden, with governments facing
opposition to high taxes. Research shows that European
population ageing may have an adverse economic ef-
fect. Between 2005 and 2035 the able-bodied population
of Italy will decrease by 20% and by a further 15% by
2050. A continued decline in the labor force will result in
a decline in economic development, unless the employ-
ment rate and labor productivity grow proportionately.
The number of people depending on each working per-
son will grow. Between 2005 and 2050 the proportion of
people aged 65 and over will increase to 44% in Italy,
while a 30% decline in the able-bodied population will
result in an increase in the proportion of dependents from
32% of the total population in 2005 to 67% in 2050.6
The potential support ratio – number of people of work-
ing age (between 15 and 64) per each person aged 65+
- will generally decrease twofold, from four to two, ap-
proximately.7 This ratio underlies social security schemes
5 Demographic Yearbook of Kazakhstan. 2004. Almaty, 2005. p.20
6 Population ageing will hamper European economies and their budgets at
www.inosmi.ru
7 Joseph Alfred Greenblat. Immigration scenarios for ageing Europe //
Domestic Notes, №4 2004
and indicates an increasingly high burden on future gen-
erations of the labor force.
The social and economic implications of ageing are a
prominent topic in the research and socio-political com-
munities of the European Union. In the near future, sub-
sequent generations are projected to be fewer in number
than previous generations, while their capacity to pro-
vide their ancestors with life commodities will decline.
Research by B. Felderer, a demographer of Köln Uni-
versity, suggests that Germany will have to increase
signifi cantly pension contributions, which will need to
reach 30% of wages by 2030-2035. By that time health
insurance will need to be 30% more than in the early
1980s. M. Palmer, a British demographer, states that
since population ageing causes an increase in the share
of people with lower income, there will be less demand
for the products of some industries.8
The fi nancial implications of ageing will soon become
evident in Australia, Armenia, China, Georgia, New Zea-
land, Singapore, Russia and some other countries, where
a decline in the proportion of the working age population
will reduce tax revenues. The number of workers is de-
creasing relative to the number of retirees, putting more
fi nancial pressure on governments to ensure adequate
pension schemes. This causes inequality between gen-
erations in terms of division of fi nancial burden.
In addition, population ageing causes an increase in pub-
lic expenditure on healthcare, which, in many countries,
has the following rationale: 1) the older population tend
to be more exposed to sickness and access healthcare
services more; 2) older people tend to spend more on
healthcare than young people; 3) families tend to stop
playing the role of carers of the elderly, meaning that
it is increasingly governments rather than families that
pay for healthcare. For example, in Korea the proportion
of money transferred by children as an income source
for their older parents dropped from 72.4% in 1980 to
56.3% in 1995.
Demographic changes currently occurring cause chang-
es in the relationship between different generations in
families, local communities and societies as a whole. At
the same time, inter-generational relations are critical to
the future development of society. In his message on the
International Day of Older Persons of 1 October 2003
UN Secretary-General Kofi Annan said “Every one of us
can help build bridges between generations by embrac-
ing the skills of older persons, whether in community
or family affairs, agriculture or urban entrepreneurship,
education, technology or the arts, poverty reduction or
peace building. The challenge before us is to bring the
invaluable attributes of older people out of obscurity and
into step with other instruments of development -- in-
cluding the work to achieve the Millennium Develop-
ment Goals, our blueprint for building a better world in
the twenty-fi rst century.”
Human development, including that of older people, is
closely linked to the Millennium Development Goals
(MDGs), which to a large extent determine the devel-
8 Demography as a global headache. Press review//Economic review, №12,
2003 http://www.review.uz/archive/article.asp?y=2003&m=46&id=74
NATIONAL HUMAN DEVELOPMENT REPORT – 2005
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opment of national social and economic policies. The
MDGs focus on eradicating extreme poverty and hun-
ger, achieving universal primary education, promoting
gender equality and empowering women, reducing child
mortality, improving maternal health, combating HIV &
AIDS, ensuring environmental sustainability and estab-
lishing global partnership for development.
Pursuing MDG targets contributes to more effective hu-
man development. From this perspective, Kazakhstan
has to address such issues as short life expectancy, low
birth rate, poverty reduction, access to and quality of ed-
ucation for all generations, safe drinking water, remov-
ing environmental challenges to health, and protecting
vulnerable groups, including the elderly.
Some countries have attempted to look at improving the
status of older people holistically. In Russia, the Concept
of State Social Policy concerning Elderly People till 2010
was prepared as a follow-up to the Federal Targeted Pro-
gramme “Older Generation”. The Concept highlights the
need to complement current economic and institutional
solutions to support the older population with special
measures. There have been signifi cant allocations from
the national budget to implement this program.
Faster population ageing has become a prominent chal-
lenge for China in the 21st century. Having the largest
older population in the world, China has been proactive
in ensuring adequate living conditions for older people
and reducing ageing-induced pressure on the country’s
social development. In China there are bodies set up
within central government and local authorities of dif-
ferent levels to work with the elderly. China has adopted
a law protecting the rights and interests of older people.
Urban older people can access ageing and medical insur-
ance as well as receive subsistence minimum benefi ts. In
many areas the elderly can access free medical examina-
tions, bus passes and park visits.
European experts suggest two economic tools to ad-
dress the challenges of population ageing. The fi rst is
to increase employment levels among the able-bodied
population. At the Lisbon Summit of 2000 EU leaders
set a target of increasing, by 2010, the overall employ-
ment rate to 70% and the employment rate in the 55-64
age group to 50%. The second tool entails enlarging the
economically active population by raising the retirement
age. However, this tool was largely unsupported, and last
year German policy-makers abstained from increasing
the retirement age to 67 years.
Population ageing takes various forms. In most coun-
tries it is a result of decreased mortality and increased
life expectancy. What distinguishes population age-
ing in Kazakhstan is that it results from two factors: decreases in the fertility rate and a high death rate, especially among men of working age. With disparities
in male and female life expectancies still signifi cant, the
male and female populations continue to be out of bal-
ance, particularly in the older age groups.
Population ageing is a relatively new phenomenon for
Kazakhstan and, therefore, has not been assessed or ad-
equately addressed in national policy documents and
legislation. At the same time, the proportionately larger
older population is beginning to affect the social and
economic situation in Kazakhstan.
Population ageing poses new challenges and, at the same
time, opens new windows to improve the lives of some
people and establish a new socio-economic and cultural
environment. Policies providing for investment in social
relations, human resources and the economy can prevent
unnecessary dependency at later stages of human life
or as a result of population ageing. Provided effective
investment is made in advance, ageing can be changed
from a factor depleting resources to a factor building hu-
man, social, economic and environmental capacity.
Economic and social implications of population ageing
are both a challenge and an opportunity for any society.
Some western experts note that an increase in the share
of older people as such does not automatically affect the
economy in a negative way. This is illustrated by Swe-
den, where the proportion of people aged 65 and older
is the largest in the EU (over 17%) but the economic
implications of ageing do not cause much concern. This
may be explained by the fact that over decades Sweden
was taking action to improve the status of low-income
groups, including retirees, i.e. pursued wealth redistribu-
tion policies. The result is that income differentials are
less profound in Sweden than in other countries.
Kazakhstan is at an early stage of becoming a country
with a predominant proportion of older people. A holis-
tic approach should be taken to address the challenges
posed by population ageing. This, however, will not be
possible without a universal concept of national policies
related to older persons. Such policies should combine
political, legal, economic, healthcare, social, research,
cultural and informational actions aiming to improve the
living standards and quality of life of older people, build-
ing on social solidarity and developing new attitudes to-
wards ageing as part of the life cycle. It is noteworthy
that in addition to the government itself, NGOs, research
institutions, professional organisations, mass media and
businesses can and should be involved in enhancing the
role of older people.
NATIONAL HUMAN DEVELOPMENT REPORT – 2005
HUMAN DEVELOPMENT IN KAZAKHSTAN AND ITS INDICATORS
CHAPTER 1
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1.1. TRENDS IN ECONOMIC DEVELOPMENT AND ALLOCATIONS FROM THE NATIONAL BUDGET TO SOCIAL NEEDS
Although not critical, economic development rates are
important for human development. Over 2000-2004 Ka-
zakhstan’s average annual economic development rate
was 10.4%, which meant that by the end of 2004 Ka-
zakhstan’s GDP was 3.6% greater in real terms than in
1990. 9
Currently, the World Bank classifi es Kazakhstan as a
middle income country, while its economic development rates are on average two times faster than those of other middle income countries. Even without taking account
of PPP, which more than doubles GDP, this reinforces
the President’s message to the people of Kazakhstan of
18 February 2005 saying that “as early as 2010 we will
be able to increase our GDP per capita to US$5,800,
which is the current level of countries such as Czech Re-
public, Hungary, Poland and Malaysia, while by 2015 it
will increase to nearly US$9,000”10.
Rapid economic development accounts for the 2.2 times
increase in budget revenues in 2004 versus 2000, which
equates to an average increase of 21.5% per annum11.
The average annual infl ation rate was 6.9% over the pe-
riod 2001-200412.
9 Economies of the Commonwealth Countries in 2004. Express report. CIS
Statistical Committee. January 2005.
10 President’s Message to the People of Kazakhstan of 18 February 2005
11 Brief Statistical Yearbook of Kazakhstan. Statistical digest / Edited by
K.R.Abdiev. – Almaty, 2005. – 216p. – P.175.
12 Ibid. – P.184.
Greater budget revenues versus infl ation means new challenges can be addressed, such as population ageing, consistent implementation of social support schemes, poverty reduction and sustainable improvment of living standards. At the same time, lower public expenditure
versus GDP over the last 10 years (22-26%) compared
to 1991 (38%) limits allocations to overall social needs
(see Figure 1.1).
Figure 1.1 Allocation from national budget to social needs, 1991-2004
Source: Living Standards and Poverty in Kazakhstan. Statistical monitoring. Joint publication by the RK Statistics Agency and the UN Theme Group on Pov-erty Alleviation, Employment and Social Safety. Almaty. 2005. – 296 p. – P.9.
Of note are the extremely low levels of expenditure on
social security and social assistance in 1995, which was
only 0.8% of GDP. By 1999 this had grown to 7.9%,
in response to a great need for social support. Later,
the much improved economic situation of 2000-2004
allowed a gradual reduction in social expenditure to
4.9%.
From 1995-2001 there was a serious cut in public ex-
penditure on education by 1.4 times, from 4.5% to 3.2%
of GDP. This increased to 3.4% by 2004 but was still
less than the 6-7% of GDP recommended by the Dakar
Conference on Education for All and less than the level
of a number of developed and developing countries, as
well as Eastern Europe and the CIS. Thus in Norway and
Sweden public expenditure on education is over double
that of Kazakhstan, standing at 6.8 and 7.6% of GDP
respectively. The Czech Republic, Hungary and Poland
also spend around 1.5 times more on education than Ka-
zakhstan – 4.4, 5.1 and 5.4% respectively. Also, there is
higher public expenditure on education as a percentage
of GDP in Belarus (6%) and Ukraine (4.2%).
Between 1995 and 1998 Kazakhstan’s expenditure on
health fell from 3.0 to 1.5% of GDP but. by 2004 had
climbed back up to 2.4%, although this is still less than
the level of developed countries and some Eastern Eu-
ropean and CIS states. In particular, such countries as
Germany, Japan, Norway and Sweden spend between
6.2 and 8.1% of their GDP on health, which is 2-3 times
more than in Kazakhstan. In Eastern European countries
as the Czech Republic, Hungary and Poland public ex-
penditure on health is 6.7, 5.1 and 4.4% respectively, all
signifi cantly higher than Kazakhstan. Some CIS states
also spend more on health than Kazakhstan. In 2001
public expenditure on health was 4.8% in Belarus, 3.7%
in Russia and 2.9% in Ukraine.
Overall, Kazakhstan’s education and health expenditure as a percentage of GDP is 1.5-2 times less than 1991 levels, indicating a need to continue increasing public expenditure in these two major areas of human develop-ment. However, this is hindered by the still high share
Insert 1.1.
Economic development around the globe 9
The CIS Statistical Committee reports that as well as in
Kazakhstan, rapid economic development rates have been
observed in Azerbaijan and Armenia at 10.6 and 10.5% re-
spectively. However, GDP per capita in these countries is ap-
proximately two times lower than in Kazakhstan.
In such East European countries as Hungary and the Czech
Republic economic development rates from 2001-2004 were
3.5 and 2.9% respectively, which means that their annual in-
crease was three times lower than that of Kazakhstan. How-
ever, their GDP per capita was US$13-16,000, which is ap-
proximately twice as high as in Kazakhstan.
Russian economic development rates are slightly lower than
the target of 7.2%, which would mean a doubling of its GDP
from 2000-2010. In 2001-2004 the average annual economic
development rate was only 6.8%, which would double GDP
by 2011.
China is a rapidly developing economy whose average annu-
al economic development rate was 7.8% during 1997-2000.
This allowed China to double its GDP in less than one dec-
ade. However, Chinese GDP per capita was PPP US$5,003 in
2003, which is 25% less than in Kazakhstan.
Over the same period the most developed countries, namely
Norway and Sweden, enjoyed economic development rates
of 1.8% and 2% respectively. The economic development
rates of the largest economies, US, Japan and Germany, were
2.5, 1.6 and 0.6% respectively. However, it should be noted
that the GDP per capita of most developed countries stands
at over PPP US$30,000, which is 4-5 times more than in Ka-
zakhstan.
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of the shadow economy in GDP, which stood at 21% in
2004 according to the RK Statistics Agency. It should
also be noted that in 2004 over one third (34.2%13) of
economic entities remained unprofi table, further limit-
ing budget revenues.
The following threats to sustainable human development
in Kazakhstan are worth noting.
Firstly, the nearly fi ve-fold gap between agricultural and
industrial price rises (by 22,200 and 101,200 times re-
spectively) in 2004 versus 1990 results in less agricul-tural versus industrial gross value added. This mostly
affects the economic and social development of agricul-
tural areas. Therefore, a timely intervention would be a
set of measures to developed Kazakhstan’s agricultural
complex as well as production and social infrastructure
in rural areas.
Secondly, the growing extraction-based nature of Ka-zakhstan’s economy should be noted. In 1990 the share
of the oil and gas sector in total GDP was only 0.5%,
but had reached 14.3% by 2003. The oil and gas sector
now accounts for 36% of industrial production, 39% of
construction, 11% of transport and 3.2% of real estate
transactions. This increasing dominance of the oil and
gas sector may threaten the country’s economic security
and hinder sustainable economic development.
1.2. HUMAN DEVELOPMENT INDICATORS FOR DIFFERENT AGE GROUPS
The UN-developed calculation methodology for the hu-
man development index (HDI) and human poverty index
(HPI) does not include disaggregation by age (see Tech-nical Notes). However, individual basic indicators of the
integral indicators only cover specifi c age groups. For
example, the HDI’s enrolment rate is a ratio of all stu-
dents enrolled in education among the population aged
5-24. The same applies to such indicators as “the propor-
tion of young people aged 16 not enrolled in education”
and “unemployment rate” used to calculated HPI for
Kazakhstan. The household survey of living standards
also provides data about age and gender-specifi c poverty
incidence in Kazakhstan.
1.2.1. HUMAN POVERTY INDEX (HPI)
Despite a more than two-fold reduction in income pov-
erty incidence from 1998-2004, Kazakhstan’s human
poverty index has not improved substantially. This can
be attributed to the fact that other basic indicators fall
more slowly than income poverty incidence.
Proportion of people not surviving to age 60. As be-
fore, in 2004 over 30% of Kazakhstan’s population did not survive to age 60 (see table 1.1 in Annex 1). This can
be attributed to low life expectancy at birth, which was
66.2 years in 2004. The proportion of people not surviv-
ing to age 60 has fallen slightly, from 33% in 1998 to
30.3% in 2004.
13 Сводные основные показатели производственно-финансовой
деятельности предприятий (организаций) за 2004 год. – Алматы:
Агентство РК по статистике, 15.06.2005.
Regionally, the proportions of people not surviving to
age 60 differ by around 10%. The highest proportion was
registered in Karagandy where 37.8% and 36.1% of peo-
ple did not survive to age 60 in 1998 and 2004 respec-
tively. Even in the cities of Astana and Almaty nearly
a quarter of the population still does not survive to 60
years of age.
Proportion of young people aged 16 not enrolled in education. This indicator fell to 1.1% for the 2004/2005 academic year (see table 1.2 in Annex 1) compared to
10.8% in the 1999 census. This demonstrates consider-
ably improving general secondary enrolment. However,
regional disparities in proportions of young people aged
16 not enrolled in education still vary markedly between
0 and 12% in 2004/2005 and between 4.9 and 16.2% in
1998/1999.
The relatively high proportions of 16-year-olds not en-
rolled in education in Akmola and Almaty oblasts may
be associated with proximity to Astana and Almaty, na-
tionally important cities, where the number of enrolled
students signifi cantly exceeds the number on the current
register. The relatively high proportions in other oblasts
can be attributed to inadequate registration of population
in the whole country.
Proportion of people with income (spent on con-sumption) below the subsistence minimum. Accord-
ing to the RK Statistics Agency 34.5% and 16.1% of
Kazakhstan’s population had income below the subsist-
ence minimum in 199514 and 2004 respectively (see ta-ble 1.3 in Annex 1). Regional disparities in this indicator
are quite signifi cant. Until 2004 the worst affected were all southern oblasts as well as Atyrau and Manghistau oblasts where this indicator exceeded 35% in 1999 and 25% in subsequent years. In 2004 poverty incidence
declined rapidly in all oblasts. Only in four oblasts -
Atyrau, Kyzylorda, South Kazakhstan and Manghistau
- did it exceed 20%.
Unemployment rate. By 2004 this indicator had de-clined to 8.4%, which is the level observed in many mar-ket economies, while it was as high as 13.5%15 in 1999
(see table 1.4 in Annex 1). Regional unemployment rates ranged between 8-15% in 1998 and 7-10% in 2004.
Human poverty index. Kazakhstan’s HPI16 based on the
above data shows that in 2004 20.1% of the population were poor from the perspective of human development, compared with 26.2% in 1999 (see table 1.5 in Annex 1). Atyrau oblast was one of the three most affected over the
whole review period. Zhambyl and Manghistau oblasts
were among three with the lowest HPI three times. In
2004, in addition to Atyrau oblast, Akmola and Kara-
gandy oblasts had the lowest HPIs.
The least affected were the cities of Astana and Almaty
whose HPIs was less than 17% in 2002-2003. However,
14 Regional poverty incidence values for 1998 cannot be compared to values
for the subsequent years because the food basket changed in 1999.
15 Before 2001 the RK Statistics Agency calculated unemployment rate using
the labor force balance. Since 2004 it has been based on the fi ndings of an
employment/unemployment survey of 21,000 households.
16 UNDP uses a special methodology to calculate the Human Poverty Index,
which is the cube root of the arithmetic mean of cubical indicators on
which it is built.
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in 2004 Almaty’s HPI rose again to 18.1%. Other ob-
lasts’ HPIs for 2004 varied between 18.9% in Almaty
oblast and 21.6% in Kostanai oblast.
What is the poverty profi le for individual human de-velopment problems disaggregated by age group?
Demographic tables of mortality rates show that the mortality rate of people of working age is high in
Kazakhstan17. This is exemplifi ed by 41% of men and 17.1% of women aged 20 not surviving to age 60. One in four men and one in ten women aged 50 do not survive to age 60 (see table 1.1).
Table 1.1. Proportion of people not surviving to age 60 by sex and age, 2003 (%)
aged 0
aged 20
aged 30
aged 40
aged 50
men 43,1 41,0 38,7 34,4 25,0
women 19,2 17,1 16,0 14,2 10,3
Source: calculated by the author using data provided by the RK Statistics Agency. Demographic Yearbook of Kazakhstan. 2004. Almaty, 2005. - 336p. – p.192-197.
The 1999 census showed notably reduced access to gen-
eral secondary education. For example, 13% of young
people aged 20-24 (15.9% of males and 10% of fe-
males) had only basic or primary education versus 8.7%
in 1989. In the 25-29 age group, 10.5% of people had
only basic or primary education, versus 7.6% in 1989.
At the same time, the proportion of young people with general secondary education fell from 55.1% to 50.3%
in the 20-24 age group, including 53.5% of males and
47.1% of females and from 48.8% to 44.2% in the 25-
29 age group, including 48.9% of males and 39.6% of
females18.
Thus, in 1999 almost two thirds of young people aged 20-24, and over half of those aged 25-29 did not have further education - seriously harming their employment opportuni-ties. Five years after the census, access to education had
improved markedly, but young people’s access to further
education is still an issue to be addressed (see Chapter 5).
As per the proportion of population of different age
groups with income spent on consumption below the
subsistence minimum, household surveys held in 2004
show that families with children are the most disad-vantaged, while the least disadvantaged are households of older age groups without children. Thus, in 2004
33.1% of the poor population were children aged 0-14
who accounted for 22.9% of all surveyed households.
Only 4.8% of the poor population were people aged 65+,
accounting for 8.9% of all surveyed households19 (see table1.6 in Annex 1).
Resulting from a prevalence of boys in the 0-14 age
group, children aged 0-14 account, respectively, for
34.7% and 31.8% of the male and female populations
with incomes below the subsistence minimum. The re-
17 Demographic Yearbook of Kazakhstan. 2004. Almaty,2005. - 336p.
– p.192-197.
18 Population of Kazakhstan by educational level. Results of the 1999 census.
Statistical digest / Edited by А. Smailov. – Almaty, 2000. – 230p. – P.28-
29; data for 1989 was calculated using data written on pages 8-25.
19 Living Standards in Kazakhstan. Statistical digest. – Almaty, 2005. – 174p.
– P.72-73.
verse is the case for those aged 65+, among whom 3.3%
of men and 6.1% of women are poor.
Employment and unemployment surveys conducted
among households show that young people are mostly affected by unemployment because they lack profes-sional education and work experience. Thus, in 2004
while the overall unemployment rate was 8.4%, the rate
among 16-19 year olds was 18.4%, 12.7% in the 20-24
age group, and only 4.2% among people aged 60-64.
The unemployment rates for people with basic, general
secondary and incomplete higher education were 11.2%,
10.7% and 11.1% respectively20.
1.2.2. HUMAN DEVELOPMENT INDEX
According to UNDP’s Global Human Development
Report, Kazakhstan and other CIS countries have gone
through two phases of human development. The fi rst
phase (1990-1995) was characterized by dramatic de-
clines in the main human development indicators, send-
ing Kazakhstan down from 54th to 93rd in the world
HDI ranking. During the second phase (1995-2003) the
human development indicators slowly recovered, raising
Kazakhstan to 80th21 in the HDI rank. This, however, is
still lower than its 1990 position. The same trend can
also be observed for other CIS countries.
The trends in absolute HDI fi gures provided in Global
Human Development Reports cannot be compared be-
cause calculation methodologies have been changing.
Below are the HDI indicators for Kazakhstan re-calcu-
lated using the methodology described in the most recent
Global Human Development Report (see table 1.2).
Table 1.2. Kazakhstan’s Human Development In-dex, 1990-2004
Показатели 1990 1995 2004 1995 к 1990
2004 к 1995
Life expectancy
(LE) at birth,
years 1)
68,1 63,5 66,2 -4,6 +2,7
Literacy rate, %1) 97,7 98,7 99,5 +1,0 +0,8
Enrolment ratio,
%1) 80,0 73,0 84,0 +7,0 +11,0
GDP per capita,
USD at PPP 2) 6283 4508 7260 -1776 +2752
Life expectancy
index 2) 0,718 0,642 0,686 -0,077 +0,044
Education index 2) 0,918 0,901 0,943 -0,017 +0,042
Income index 2) 0,691 0,636 0,715 -0,055 +0,079
HDI 2) 0,776 0,726 0,782 -0,050 +0,056
Source: 1 data provided by the RK Statistics Agency ; 2 calculated by the author
20 Основные индикаторы рынка труда в Республике Казахстан за 2004
год: Справочник / Серия 13. Занятость населения и оплата труда.
– Алматы: Агентство РК по статистике, 2005. – 248 с. – С.104.
21 It should be underlined that in its Global Human Development Report
2005 UNDP signifi cantly reduced estimated life expectancy at birth for the
CIS compared to the previous report (by 0.8 – 5.2 years). Internationally
compared infant mortality rates are supposed to be much higher in the CIS
compared to values registered using the old methodology. Kazakhstan’s
estimated life expectancy fell by 3 years. Our estimates suggest that
in Kazakhstan infant mortality registered according to the WHO
methodology is no more than 1.5-1.7 times higher than that registered
using the old methodology, which results in a reduction in life expectancy
by approximately one year.
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The table clearly shows that between 1990 and 1995
Kazakhstan’s HDI fell by 0.050. 52% of this reduction
was associated with a decrease in life expectancy, 37%
with a reduction in GDP per capita and 11% with fall-
ing enrolment.
From 1996-2004 Kazakhstan’s HDI grew by 0.056, of
which 48% was associated with an increase in GDP per
capita, 27% with a rise in life expectancy and 25% with
an 11% increase in enrolment.
Despite the gradual growth of HDI, regional disparities
in HDI have intensifi ed. In 1990 the highest regional HDI
was 7% more than the lowest regional HDI, but by 2004
this difference had reached as much as 20% (see table 1.7 in Annex 1). This can be accounted for by sustained
regional disparities in GDP per capita, which amounted
to 12.1 times in 2004. The respective indices of GDP per
capita differ by 0.416 (see table 1.8 in Annex 1).
Regional disparities in income per capita spent on con-
sumption are less – 2.9 times in 2004. As a result, region-
al income indices differ only by 0.178 (see table 1.9 in Annex 1). Consequently, less differentiation is observed
in regional HDIs built on incomes spent on consumption
(see table 1.10 in Annex 1 and Figure 1.2).
Figure 1.2. Regional HDIs built on incomes spent on consumption
Source: data provided by the RK Statistics Agency; calculated by the author
A review of HDIs disaggregated by year shows that re-
gional human development was lowest mainly in 1995-
1996. In more recent years the HDI groupings of Kaza-
khstan’s regions are as follows:
1) Regions with relatively high human development (cities of Astana and Almaty) whose HDIs have
stood at over 0.8 for the last three years
2) Regions with human development at the average national level (Aktobe, Atyrau, East Kazakhstan,
West Kazakhstan, Karagandy, Manghistau and
Pavlodar oblasts) whose HDIs vary between
0.777 and 0.798
3) Regions with human development slightly less than the average national level (Akmola, Al-
maty, Zhambyl, Kostanai, Kyzylorda, North Ka-
zakhstan and South Kazakhstan oblasts) whose
HDIs are below 0.77
Table 1.11 in Annex 1 demonstrates the basic human de-
velopment indicators and their indices, disaggregated by
region in 2004. The highest regional disparities are ob-
served in incomes spent on consumption (by 2.9 times),
accounting for a 27.3% disparity in GDP indices. Life
expectancy and education indices also differ quite nota-
bly, by 11.8% and 12.3% respectively.
Variations in the basic human development indicators
disaggregated by region affected regional HDIs differ-
ently (see table 1.12 in Annex 1). For example, when
a downward trend was observed in all HDIs, reduced
life expectancy accounted for 67% and 60% of the HDI
decrease for Karagandy and Pavlodar oblasts respec-
tively. Meanwhile, it was a reduction in GDP per capita
that accounted for 74% and 76% of the HDI decrease
for Zhambyl and Manghistau oblasts. When an upward
trend was observed in all HDIs, in Atyrau and Manghis-
tau oblasts 78% and 80% of the increase was associated
with greater GDPs per capita, whereas in East Kaza-
khstan oblast longer life expectancy accounted for 40%
of the HDI increase.
1.2.3. GENDER-RELATED DEVELOPMENT INDEX (GDI)
Over the period 1999-2004 gender disparities in life ex-
pectancy increased markedly, as women’s life expectan-
cy rose by 1 year while men could only expect to live a
0.3 of a year longer. (see table 1.13 in Annex 1).
At the same time, the proportion of economically active
women grew by 1.4%, while gender disparities in wages,
i.e. female to male wage ratio, also increased by 5.9%.
In this context, with an increase in GDP per capita by
PPP USD2,967 GDP per woman proportional to female
wages only increased by PPP USD2,059.
These fi gures are included in the values of indices of in-
dividual human development components and HDI for
the entire populaton and disaggregated by gender, illus-
trating an increase in all human development indicators
for both genders over two years. At the same time, there
are growing gender disparities in all human development
components (see table 1.14 in Annex 1).
Thus, gender disparities in terms of access to education
grew from 10 to 17 in favor of women, while gender
disparities in income increased by 6 in favor of men, to-
taling 99 in 2004. Overall, gender disparities in HDI rose
from 0.032 to 0.035. At the same time, women continued to fall further behind in terms of GDP per capita, while men lost more ground in terms of life expectancy and access to education, resulting in a higher overall HDI value for women.
Disparity in female and male HDIs results in the fact that
HDI calculated for both genders using a special formula
including gender disparities, i.e. the gender-related index
or GDI, emerges lower than the overall HDI calculated
for both genders without taking into account gender dis-
parities (see table 1.in Annex 1).
Gender disparities in access to education are barely no-
table in the respective indices, which differed by 1 in
1999-2000 and did not differ at all for 2001-2004. How-
ever, growing gender disparities in life expectancy and
GDP caused growing divergence in the respective indi-
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ces, whether adjusted or unadjusted by gender, by 0.001
for each factor and resulted in a 1 point increase in the
gap between HDI and GDI.
In summary, there are notable gender disparities in the two human development components of HDI - life ex-pectancy at birth and GDP - which are captured as a
decrease in the respective indices.
Furthermore, gender disparities in ageing seriously af-
fect overall human development in Kazakhstan.
Thus, in recent years the age of fi rst marriage has been
rising. From 1999-2003 male and female ages of fi rst
marriages rose from 26 to 26.7 and 23.2 and 23.7 years
respectively22. At the same time, it is from the age of
26 and upwards that women start to prevail in number
over men. At the beginning of 2003 the ratio of men to
women aged 26 and 30 was 992 and 977 per 1,000 re-
spectively23.
The male mortality rate is much higher than that of
women, leading to a faster decreasing male population.
The lowest ratio is observed at age 3, when boys’ mortal-
ity rate is 12% higher than that of girls. In the subsequent
age groups the ratio, however, surges. As a result, the
mortality rate of young men aged 17 and 26 is two and
three times as high as mortality rate of young women of
the same ages respectively24.
As a result of such differences between male and female mortality rates, by the age of marriage there is a relative shortage of men. The 1999 Census reports that 14.1%
of people aged 30-34 have never been married25. Male ‘over’ mortality means that almost one in fi ve (19.1%)26 of 30-year-old men in Kazakhstan do not survive to age 50, increasing the number of widows and fatherless chil-dren. This in turn results in lower family incomes and re-duced opportunities to access education, which increas-es the risk of unemployment. Eventually, opportunities for the human development of wives and children also decline in other areas such as healthcare, housing, etc.
Gender disparities in mortality account for there being
over 25% more women than men in the fi rst older age
groups, i.e. at age 65, versus 26.1% prevalence in 2003,
while in the 80+ age group there are only 348 men per
1,000 women.
1.3. POPULATION BY AGE GROUP AND THEIR SOCIAL AND DEMOGRAPHIC STATUS: TRENDS AND PROSPECTS
In recent years the age composition of Kazakhstan’s
population has been changing rapidly, characterized by
an ageing of the population. The UN defi nes a nation
with 7% of the total population aged 65 and older as
‘ageing’. Kazakhstan crossed this threshold relatively
22 Demographic Yearbook of Kazakhstan. 2004. Almaty, 2005. - 336p.
– p.114.
23 Calculated using data from Demographic Yearbook of Kazakhstan. 2004.
Almaty, 2005. - 336p. – p.28, 33.
24 Calculated using data from Demographic Yearbook of Kazakhstan. 2004.
Almaty, 2005. - 336p. – p.194, 196.
25 1999 population census. RK Statistics Agency.
26 Calculated using the table of life expectancy for 2003: Demographic
Yearbook of Kazakhstan. 2004. Almaty, 2005. - 336p. – p.194-197.
recently: at the beginning of 1999 the proportion of older
people was 6.7%, while by the beginning of 2004 it had
reached 7.4%27.
To some extent, this situation can be attributed to the
clear-cut variations in the age composition of the popu-
lation. At the beginning of 1999 the population pyramid
had an upward wave in the proportion of people aged
56-6328 associated with increased birth rates in the years
before the Second World War. This resulted in the in-
creased proportion of people aged 65+ over the last fi ve
years. However, after that there was a downward wave
associated with the decline in the birth rate during the
Second World War. Such ups and downs rotate approxi-
mately every 25 years. How large will Kazakhstan’s
population be and what age composition will it have? Is
the current population ageing temporary?
To answer this question demographic estimation can
be made building on the demographic capacity trends
observed over recent years, as well as demographic de-
velopment targets. Before making estimations, potential
trends in the following indicators should be assessed:
• total fertility rate;
• male and female life expectancies at birth;
• external migration balance.
Total fertility rate (TFR)29 was only 1.80 in 1999, but
by 2003 had risen to 2.0330. The value for 2004 is esti-
mated at 2.21 and 2.32 for 2005. These increases are as-
sociated with a considerably improved socio-economic
situation and state support to mother and child welfare
initiatives.
Resulting from benefi ts for the care of children under
one year which the state will start to provide as of 1 July
2006, age-specifi c fertility rates31 are estimated to grow
by 7% in 2006, which will result in a rise in the total fer-
tility rate up to 2.49, last observed in 1993. Age-specifi c
fertility rates will increase by a further 5% in 2007, 3%
in 2008 and 1% in 2009, resulting in a rise in the total
fertility rate to 2.7232, which is back up to the 1991 level
(see table 1.16 in Annex 1).
It is expected that measures the Government is taking will
help maintain this total fertility rate until 2015, when,
following the world-wide downward trend in birth rates,
it will decease by 1% each year, reaching a value of 2.36
by 2030, which is close to the 1994 level of 2.40.
27 Demographic Yearbook of Kazakhstan. 2004. Almaty,2005. - 336p. – p.20
28 Demographic Yearbook of Kazakhstan. 2004. Almaty,2005. - 336p. – p.22
and p.317.
29 Total fertility rate showsthe number of children that would be born to each
woman throughout the entire child-bearing age, which is 15-49. The total
fertility rate is built on the birth rates for women of all ages within the
child-bearing age group.
30 Demographic Yearbook of Kazakhstan. 2004. Almaty,2005. - 336p.
– p.105
31 Age-specifi c birth rate is a ratio of births by women of an age group to the
average annual number of women of this age group.
32 By estimating an increase in the aggregate birth rate it is a likely value
to be set as a target of demographic development that is being estimated
rather than trends in the rate.
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In Kazakhstan life expectancy (LE)33 at birth reached its
maximum value of 70.5 years in 1987, while the lowest
life expectancy of 63.5% was observed in 1995. By 2003
life expectancy at birth had grown back to 65.8 years34.
In 2004 the RK Statistics Agency estimated life expect-
ancy at birth to be 66.2 years. UNDP reports that in 42
countries life expectancy at birth is over 75 years, while
in Japan it stands at 82 years35. The following values of
life expectancy at birth may be targeted by Kazakhstan:
70 years by 2015, 72.5 years by 2020 and 75.7 years by
203036.
Such an increase in life expectancy may be achieved
through a 1.5-4% decrease in the mortality rate (see table
1.17 in Annex 1). This takes into account the consider-
able gender disparity in life expectancy, which stood at
11 years in 2003. Therefore, the calculations are built on
more rapidly declining male (2-4%) versus female (1.5-
3%) mortality in order to bring Kazakhstan’s gender dis-
parity in life expectancy to the more “natural” level of
5 years.
During the period 1968-2003, i.e. for 36 years, Kaza-
khstan had a negative net external migration balance37,
which averaged 114,000 people per year between 1975
and 1991, when the USSR collapsed. It then surged to
a net out-migration of over 500,000 people in 1994, in-
cluding unregistered statistical cards. After that it gradu-
ally fell to reach a net outfl ow fi gure of 8,300 people
in 200338. The year 2004 was the fi rst time in 36 years
that a positive external migration balance had been ob-
served in Kazakhstan, reaching, according to specifi ed
annual data, 2,800 people. Statistics Agency estimates
suggest that the external migration balance reached
+16,200 between January and July 2005.
In our opinion, Kazakhstan’s population emigration po-
tential has been exhausted. A gradual rise in the positive
external migration balance can be expected because of:
• the continuing state policy to support oralmans’
return to Kazakhstan;
• an emerging fl ow of people who emigrated dur-
ing the transition period now returning to Kaza-
khstan (the Statistics Agency reports that from
1990-2003 the total negative external migration
balance was more than 3 million people)
• continuing improvement in the socio-economic
and political situation, combined with low popu-
lation density and abundant natural resources,
making Kazakhstan an attractive destination for
33 Life expectancy is the number of years a person would live if prevailing
patterns of age-specifi c mortality rates were to stay the same. Life
expectancy is calculated using mortality rates.
34 Demographic Yearbook of Kazakhstan. 2004. Almaty,2005. - 336p.
– p.106.
35 UNDP. 2005. Human Development Report 2005. New York: Oxford
University Press.
36 In this case we are targeting rather than projecting life expectancy as is
done, for example, in the UN MDGs. Targeting lower values means that
Kazakhstan is not targeting to achieve the level of life expectancy at birth
already achieved in 42 countries, even in 25 years.
37 External migration balance is a difference between those coming for
permanent residence and those leaving the country.
38 Demographic time series prepared by the RK Statistics Agency.
labor migration and then residence for people
from neighboring countries.
The positive external migration balance has been esti-
mated to be at least 1 per thousand, or 15,100 people
in 2005. This balance is expected to grow by 0.1 per
thousand annually and reach 3.5 per thousand by 2030.
Building on this fi gure and a population of 20 million
people the external migration balance will amount to
70,000 people.
Table 1.18 in Annex 1 illustrates Kazakhstan’s projected population size until 2030 based on the above estimated
annual increase/decrease of the population and the age/sex
breakdown of the population at the beginning of 2003.
Projections suggest that Kazakhstan’s population will
increase by more than 1 million people every fi ve years
and will total to 20.9 million people by the beginning of
2030. Faster decreases in male mortality will mean that
by 2030 there will be 945 men per 1,000 women com-
pared with 929 men per 1,000 women in recent years.
As early as 2006 the number of births is expected to be
more than 300,000 newborns and will exceed this level
over the entire period under review, to peak at 378,900
newborns in 2015. The total birth rate will peak at 23.0
per thousand in 2010 and will then gradually decline to
16.0 per thousand by 2030.
The number of deaths will gradually grow to 156,800
people by 2010, largely accountable to an increase in the
proportion of people aged 65 and over. During the fol-
lowing 10 years the number of deaths will decrease to
147,200 people in 2020, as a result of a notable decline
in the mortality rate during that period. Subsequently, the
number of deaths will increase again to reach 160,600 in
2030, due to population ageing. There will be a sustained
downward trend in the total mortality rate, which will
decrease to 7.6 per thousand in 2025 and then broadly
remain constant.
Review of the projected age composition of the country’s
population shows a rise in the proportion of population
aged 65+ to 7.8% in 2005, while by 2010-2015 it will drop
to 7.2%. Subsequently, the population will be clearly age-
ing, resulting in an increase in the proportion of older peo-
ple to 11.5% of the population by 2030 (see Figure 1.3).
Figure 1.3. Age composition of Kazakhstan’s popula-tion at year start, 2003-2030
Source: data provided by the RK Statistics Agency; calculated by the author
The proportion of under-15 children will rise from 24.5%
in 2005 to 28.9% in 2020 and will then gradually fall to
24.4% by 2030.
The age dependency ratio39 will signifi cantly increase by
1.3 times between 2005 and 2025 (from 536 to 713) and
39 Age dependency ratio is calculated per 1,000 people as a ratio of people of
non-working age to people of working age. Our calculations are based on
the ratio of people under age15 and people aged 60+ to people aged 15-59.
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will then decrease to 668 because of the falling proportion
of children under 15 (see table 1.19 in Annex 1).
Before 2020 an increase in the proportion of children aged
0-14 and after 2020 an increase in the share of people
aged 60+ will be the main factors accounting for a sharp
increase in the age dependency ratio after 2010. Such es-timates justify the continuing policy of state support to maternal and child health initiatives and a social security system guaranteeing decent maintenance in old age.
CONCLUSION
Data for 2000-2004 suggests that Kazakhstan is a dynami-
cally developing economy, allowing it to address current
and future challenges, in particular population ageing, and
ensure that human capacities are developed and poverty
reduced.
Two threats related to changes in the economic structure
should be emphasized: 1) an over four-fold reduction in
the share of agriculture in GDP compared to 1990 af-
fects rural regions, requiring a continued set of measures to develop Kazakhstan’s agricultural complex as well as production and social infrastructure in rural areas 2) the
growing extraction-based nature of the economy of Ka-
zakhstan, which hinders the country’s economic security and sustainable economic development.Education and health expenditure as a percentage of GDP
is 1.5-2 times less than the level of 1991 or the levels ob-
served in developed countries and a number of transition
economies. This sets a target of continuing to increase public expenditure in these two major areas of human de-velopment. Expected population ageing after 2015 and a rise in the
age dependency ratio after 2010 necessitate a continued policy of state support to maternal and child health ini-tiatives and a social security system guaranteeing decent maintenance in old age. Death rates of people of working age are high in Kaza-khstan. Male ‘over’-mortality means that almost one in fi ve (19.1%) 30-year-old men do not survive to age 50,
which increases the number of widows and fatherless
children. This, in return, results in low family income
and shrinking opportunities to access education, which
increases the risk of unemployment. Eventually, oppor-
tunities for the human development of wives and children
decline in other areas such as healthcare and housing.
Despite the gradual rise of HDI for the whole country, regional disparities have increased. This results from re-
gional disparities in GRP per capita, which reached 12.1
times in 2004, and in income spent on consumption (2.9
times).
There are remarkable gender disparities in two key com-ponents of Kazakhstan’s human development - life expect-ancy at birth and income. Such disparities become evident
from a reduction in the respective indices.
If Kazakhstan is to become a country with a high level
of human development, clear targets must be set. Some
of these have already been articulated in the Millennium
Development Goals, to be achieved by 2015. At the same
time, other targets related to the main human develop-
ment indicators should be revised and determined to be
achieved by 2030.
It is believed that the following human development tar-
gets should be prioritized:
re-establish, by 2015, life expectancy at birth at the peak level of 70.5 years observed in 1987, with 72.5
years to be achieved by 2020 and 75.5 years by 2030;
increase, by 2015, the gross enrolment rate up to 100% with the interim value of 92% to be achieved
by 2010;
increase, by 2015, GDP per capita to PPP USD16,000-17,000 and to USD40,000 by 2030. To
achieve this, the average annual GDP growth will have
to be at least 8.5% by 2010, 7.5% from 2011-2020 and
5.5% between 2021-2030.
Step-by-step progress towards these targets, coupled with
progress towards the MDGs, will allow Kazakhstan to be-
come a country with a high level of human development
as early as 2010.
NATIONAL HUMAN DEVELOPMENT REPORT – 2005
POVERTY AND INCOME OF OLDER PEOPLE
CHAPTER 2
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2.1. POVERTY PROFILES AND FACTORS
Being a satellite to an economic system, poverty has
always existed in all countries regardless of their level
of economic development. Not only does it affect liv-
ing standards but also the social and political lives of
societies and in many cases precipitates crime and social
confl ict. As a consequence, poverty reduction is a target
to be achieved by the whole world.
In a wide sense, poverty is understood to be the social
and economic status of households or people when their
relatively limited fi nancial, material and other resources
are insuffi cient to meet their physiological, material and
spiritual needs.
“Absolute poverty” is defi ned as the inability to meet
physiological and minimum social needs. The term
“relative poverty” is used when material resources are
insuffi cient to provide for a person’s life according to
the standards of a given country. The term “subjective
poverty” is applied to subjective assessments of material
wealth and attribution to the category of the poor.
When assessing poverty incidence, many countries use
an income or consumption based approach, which nar-
rows the whole concept of poverty. A person may be
wealthy but may not be able to live a long and healthy
life or may stay illiterate or have poor education or may
have no access to important political decision-mak-
ing affecting his/her life. Building on the above, world
practice uses three perspectives from which poverty is
viewed, which are:
• the perspective of income (or consumption);
• the perspective of basic needs;
• the perspective of human development.
The main factor leading to poverty is the loss of stable
income. The causes of poverty are mainly those related
to employment, such as loss of paid work, no pay for the
work done or insuffi cient income caused by a lack of
skills required on the competitive labor market.
Macroeconomic measures and policies can affect the
status of households in three main aspects: changing de-
mand for labor demonstrated in changing wages as the
main income source for households; drastically reduced
social transfers enabling a balance between market-de-
termined income and households’ consumption; chang-
ing relative prices affecting the composition of the food
basket and households’ spending capacity.
Employment, age and place of residence become major
risk factors.
1. Employment – households where the head is
unemployed or economically inactive are at a
higher risk of poverty than other people. Unem-
ployment correlates with the level of education.
People with only primary education are at higher
risk of poverty compared to people with second-
ary or higher levels of education.
2. Age – in most countries children and older people
are at higher risk of poverty. The more children a
household has, the higher its relative risk of pov-
erty. The more dependents and unemployed able-
bodied adults a family has, the higher its risk of
experiencing poverty.
3. Place of residence – in most countries rural peo-
ple are at higher risk of poverty compared with
the urban population.
Poverty is considered to mean limited resources for hu-
man development. A person should not be limited in
meeting his/her basic needs in food, clothing and shel-
ter. Poverty eradication increases the chances of living a
long and healthy life, access to adequate education, par-
ticipation in social life and having suffi cient income to
meet other socio-cultural needs.
Before 1992 the social phenomenon known as extreme
poverty, did not exist in Kazakhstan, especially among
older people.
The shift to a market economy occurred against a back-
ground of deepening economic crisis, which negatively
affected economic performance and the living standards
of the population.
Figure 2.1. Real change in GDP, wages and assigned pensions, 1991-2004, % of 1990
Source: RK Statistics Agency
Throughout 1991-1995 production of goods and
services was contracting. By 1995, real GDP had de-
creased by 38.6% versus 1990 levels, real wages by
69.9%, assigned pensions by 77.3% and construction
investments by some 84.1%.
Along with the shrinking production of goods and
services the country was affected by hyperinfl ation,
which was only brought under control in 1996. The
infl ation rate of 1995 versus 1990 grew by 29,605
times. In real terms, average monthly wages depreci-
ated by 3.2 times and average monthly pensions by 5
times between 1990 and 1995.
Poverty in Kazakhstan was characterized by unem-
ployment and low and widely varying incomes among
the population.
Reduced monetary income of the majority of the pop-
ulation resulted in the social polarization of society,
which was affected by material disparities and the gap
between income of the richest 10% and poorest 10%
of the population. From the late 1990s onwards, the
economy started to develop positively and poverty in-
cidence gradually began to fall, from 34.5% in 1999
to 12.2% in 2004, while. income inequality leveled
off. Poverty depth decreased by almost 5 times and
poverty severity by 7 times.
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Table 2.1. Income inequality in KazakhstanProportion of people
with income below Pov-
erty
depth
Pov-
erty
sever-
ity
Gini coeffi -
cient by 20%
groups of
population subsistence
minimum
food basket
cost
1999 34,5 14,5 13,7 5,5 0,332
2000 31,8 11,7 10,3 4,0 0,307
2001 28,4 11,7 7,8 3,1 0,322
2002 24,2 8,9 6,1 2,2 0,312
2003 19,8 6,3 4,6 1,6 0,300
2004 16,1 4,3 3,3 1,0 0,291
Source: Living Standards and Poverty in Kazakhstan. Statistical monitoring. Almaty, 2005
According to an annual sample survey of households
conducted by the RK Statistics Agency, the following
groups constitute Kazakhstan’s poor i.e. those with in-
come below the subsistence minimum:
• Children under 14 – 33%;
• Adolescents and young people aged 15-19 – 13%;
• Older people and retirees – 6.7%.
Low aggregate income of the majority of people stands
out as an important cause of poverty in Kazakhstan. The
characteristic of Kazakhstan’s poverty is that it affects
both the employed and unemployed.
According to international practice a poverty line - in-
come of US$1.08 a day at purchasing power parity
(PPP) of national currency to the US dollar - is used to
determine poverty incidence.
Figure 2.2
Source: RK Statistics Agency
According to the World Bank, a poverty line of
US$2.15 per day is more reasonable for Central Asia.
In Kazakhstan the Law “On Subsistence Minimum”
of 1999 specifi es that the poverty line shall be deter-
mined by the subsistence minimum. In 2000-2004 the
poverty line stood at PPP US$3.5-3.7. This makes the
Kazakhstan subsistence minimum similar to the pov-
erty line used for international poverty comparisons
of transition economies.
Insert 2.1
Social services for the elderly in EuropeIn the last 15-20 years in Europe there has been an increase in solidarity ideology, with activities known as “community develop-
ment”. This area of social work involves wide participation of residents in solving of their own problems on the basis of mutual
help and cooperation. Resources of community development are the elderly people, who have qualifi cations, life experience
and, most importantly, time. It is generally accepted that even the best boarding schools or institutions cannot replace the fam-
ily and home. On this basis there was a re-evaluation of the role of family, neighbors and local community as the basic social
resources. Mixed structures of social policy began to be developed, in every country based on their own historical and cultural
traditions.
In Sweden in the early 1990s, economic recession brought a signifi cant fall in expenditure on social needs and led to the follow-
ing approaches being adopted:
– optimization of resource usage, production of a large number of services in one unit of expenditures;
– use of resources only to provide essential needs of the elderly;
– allocation of resources between groups of population and various aspects of social policy.
Increased effectiveness of services for the elderly in Sweden is achieved by adopting a less universal, more focused provision of
services. If customers do not need certain services or need a completely different service, then the government can save money
for those who really need them.
In Great Britain during the period of prevalence of state welfare, social groups were formed in order to solve problems that the
government could not solve adequately. Increasing needs and poverty among pensioners led to the creation of such non-profi t
organizations as Age Concern, Help Age, Cinderella Services. This growing role of the voluntary sector was supported by the
government and an actual transfer of social services to local communities took place. Communities became responsible for pro-
viding services to the elderly. Meanwhile, the government, from being the main provider of services for the elderly has become
more like an agent, coordinating the actions of other service providers.
In France, serving the elderly is based on an increase of in-family resources, municipal social services and non-governmental/
non-commercial organizations. Decentralization and delegation of authority to the regions and municipalities began in 1982.
Prefectures of regions or city administrations can subsidize the activities of small and medium non-governmental enterprises and
organize enterprises to serve the population. Thus, communities must create institutions to serve the elderly. At the same time,
the majority of services are provided by city administrations, private sector organizations and NGO/NCOs.
All services focus on support in a family setting, since institutions are now seen as places of social isolation. In particular, fami-
lies are provided with special aid to take care of their elders. This either compensates for lost wages of the family member who
takes care of the elderly, or allows the family to hire a nurse. Delivery of food to homes is widely developed, as is the help of
special social workers in taking care of the elderly family members, cleaning, renovating and modernizing apartments.
* Irina Grigoryeva. SOCIAL SERVICES FOR THE ELDERLY AND COMMUNITY DEVELOPMENT: IS WESTERN EXPERIENCE APPLICABLE IN RUSSIA?http://www.strana-oz.ru/?numid=24&article=1069
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2.2. REGIONAL DISPARITIES IN POVERTY IN KAZAKHSTAN
In Kazakhstan poverty incidence varies notably from re-
gion to region (Table 2.2).
Table 2.2. Regions by proportion of poor people
Poverty incidence (proportion of poor people out of total
population of region)
Region
Low (1.1-2.8%) Cities of Astana and Almaty
Middle (14-18.3%)
Kostanai, North Kazakhstan ,
Almaty, Akmola, Aktobe, East
Kazakhstan, West Kazakhstan,
Karagandy and Pavlodar oblasts
High (21-29.1%)
Atyrau, Manghistau, Zhambyl,
South Kazakhstan and Kyzylorda
oblasts
Source: RK Statistics Agency
In 2004 the lowest poverty incidence was observed in
the cities of Astana and Almaty where the proportions
of people with income below the subsistence minimum
were 1.1% and 2.8% respectively.
The highest poverty incidence was in Atyrau oblast
(29.1%) which also had the highest GRP per capita and
average wage. High poverty incidence (26-21%) is also
observed in Manghistau and South Kazakhstan oblasts.
In Kazakhstan a important factor determining poverty
status is a person’s place of residence. Economic reforms
have had varying effects on different economic sectors
and as a consequence, on different oblasts depending on
their production specialization. This particularly the case
for agriculture, with its ineffi cient production and low
incomes.
The southern agricultural oblasts have traditionally had
high poverty indicators. Another factor hindering the liv-
ing standards of the population of these areas is the size
of the informal economy, which promotes unreported
income generated by households.
In western oblasts such as Atyrau and Manghistau in-
dustrial production makes up over half of GRP. How-
ever, the local population often remains uninvolved in
the production of high income in the oil and gas sector,
leading to high poverty incidence among the local peo-
ple of these oblasts.
Regional disparities in poverty incidence are also associ-
ated with their poorly developed labor markets that fail
to ensure adequate employment of the population.
In Kazakhstan poverty is more prevalent in rural than ur-
ban areas. Over recent years rural versus urban poverty
incidence has increased from 1.9 times in 2001 (38.5%
and 20% respectively) to 2.9 times in 2003 (30.9% and
10.8% respectively) and stood at 2.7 times in 2004.
In 2004 urban poverty incidence was highest in Kyzy-
lorda (21.4%), Atyrau (20.6%), Zhambyl (14.6%) and
South Kazakhstan (17.0%) oblasts. The highest rural
poverty incidence was registered in Manghistau (47.0%),
Atyrau (41.8%), Kyzylorda (35.7%) and Karagandy
(38.9%) oblasts.
2.3. POVERTY IN OLDER AGE
The older population includes retirees employed in dif-
ferent economic sectors and therefore generating addi-
tional income. Thus, it would be reasonable to expect
that this group will be less affected by poverty. However,
while this group is less affected by extreme poverty – ex-
perienced by the poorest 20% of the population - they
are more likely than the rest of the population to be in the
second poorest 20% group. Also, this group is more like-
ly to have an income at the subsistence minimum level.
Employed retirees are much less affected by poverty.
A real reduction in benefi ts, pensions in particular, has
affected the elderly’s living standards and made their
poverty deeper. This has mostly affected very old peo-
ple without property and the physically unfi t, unable to
benefi t from labor activity. They required personal care
which the government was unable to ensure to the full.
The proportion of such older people is estimated at 5-7%
of the total older population.
Table 2.3. Breakdown of older people in surveyed households by sex and income spent on consumption, 2003 (%)
People with income spent on con-sumption:
above subsist-ence minimum
below subsistence minimum
Total population 100,0 100,0
of which people aged:
60–64 4,8 2,3
65 and older 10,6 4,4
women 100,0 100,0
of which people aged:
60–64 5,6 2,6
65 and older 13,0 5,6
men 100,0 100,0
of which people aged:
60–64 3,8 2,0
65 and older 7,6 3,1
Source: Major Labor Market Indicators. 2004.
From 1996-2004 the ratio of subsistence minimum to mini-
mum pension was minor. At the same time, both indica-
tors exceed the poverty line determined by the World Bank
more than two-fold. The average assigned pension for civil-
ians is only slightly more than the subsistence minimum
and the minimum pension. This means that up until 2005
nearly all retirees were receiving benefi ts, in the form of
pensions, close to the subsistence minimum.
The average pension was lower than the subsistence mini-
mum until and including 1998, while in the subsequent two
years it was slightly more than subsistence level. The pro-
portion of older people in the total poor population varied
from 53% to 40% during 1996-2000.
In 2004, the average monthly pension amounted to 8,628
tenge, while the subsistence minimum was 5,427 tenge.
However, with a higher poverty line many retirees are at
risk of living in poverty.
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The food basket accounts for 70% of the subsist-
ence minimum calculated in Kazakhstan, while the
cost of non-foods and services is statistically fixed
at 30%. However, utilities and costs of various
services have increased significantly due to priva-
tizations since independence. This has pushed Ka-
zakhstan’s older people much closer to the poverty
line. A more accurate and objective analysis of the
subsistence minimum would allow identification
of a wider range of people, including retirees, who
need targeted assistance. An adjusted subsistence
minimum used to assign and calculate all benefits,
including pensions, would better capture the real
expenditure of the population.
Table 2.4. Ratio of wages and pensions to subsistence minimum, 2000-2004, tenge
Показатели 2000 2001 2002 2003 2004Subsistence minimum (SM) 4007 4596 4761 5128 5427
Proportion of people with
income below the subsistence
minimum, %
31,8 28,4 24,2 19,8 16,1
Average monthly nominal
wage 14374 17303 20323 23128 28329
Ratio of average monthly nominal wage to SM 3,6 3,8 4,3 4,5 5,2
Minimum pension 3500 4000 4336 5500 5800
Ratio of minimum pension to SM 0,9 0,9 0,9 1,07 1,14
Average pension 4462 4947 5818 8198 8628
Ratio of average pension to SM 1,1 1,1 1,2 1,6 1,6
Source: Living Standards and Poverty in Kazakhstan. Statistical monitoring. Almaty, 2005
However, it is not wholly reasonable to treat govern-
ment-provided monetary pensions as the key charac-
teristic of older people’s living standards. It should be
taken into account that throughout their lives many older
people were buying possessions and property, which, in
the new context, became important economiс providers
in their daily lives.
According to the patriarchy practiced by oriental na-
tions, living and working together are vital for the
family system. In addition, there is a culture of look-
ing to the extended family for support of older mem-
bers. In Kazakh families it was traditional that the
younger son would live and take care of the older
parents after older siblings had separated from the
parental family and had their own families. At the
same time, all children were supposed to contribute
to the elderly parents’ maintenance. Until the last
decade “composite” families where parents lived
with their children’s families were common among
Kazakh families.
In Kazakh families the older parents were responsible
for raising their grandchildren, which is a tradition
still observed in rural families where young families
live with their parents. This can be partially attributed
to a higher unemployment rate in rural areas where
the majority of young families survive on small farm
businesses and their older parents’ pensions. Parent’s
pensions are most often the main monetary income
source for such families.
Greater migration of rural young people to urban areas
has resulted in many young urban families choosing to
leave their children to be raised by their grandparents re-
siding in rural areas while providing some maintenance.
However, in recent decades the number of “simple”
families where children live separately from their older
parents has increased signifi cantly. This makes it more
diffi cult for the older generation to survive and creates
a generation gap.
In general, the tradition of taking care of older parents is
still alive in most families, maintaining inter-generation-
al ties. Children take care of their parents both socially
and fi nancially, while parents help to raise grandchildren
by looking after them, which is especially important
when young mothers have to go back to work after ma-
ternity leave in order to earn family income along with
young fathers.
Since 2000 Kazakhstan’s economy has been developing
fast. In this context poverty alleviation has become one
of the priorities for the Government, which has taken the
following steps:
• Microcredit program underway;
• National Fund to support low-income people set up;
• Programme to fi ght poverty and unemployment
in Kazakhstan for 2000-2002 adopted and imple-
mented;
• Law “On State Targeted Social Assistance” adopted;
• with assistance from the Asian Development
Bank and UNDP State Poverty Reduction Strat-
egy for 2003-2005 adopted in 2002.
Eradication of extreme poverty enables better access
to education of better quality, better health status, with
reduced child and maternal mortality rates, as well as
lower disease incidence rates and an improved environ-
mental situation.
State social policy is an important tool to reduce
poverty. The increase in pensions in 2005 should
contribute to an improved economic situation for
the older population. However, rural older people’s
living standards remain low. This can be attributed
to dilapidated rural infrastructure, lack of social in-
stitutions, lack of safe drinking water and other is-
sues needing to be addressed to improve rural liv-
ing standards. In addition, many rural retirees have
to use their pensions to support unemployed family
members.
Social policy interventions identified in the State
Poverty Reduction Programme for 2003-2005 in or-
der to improve the living standards of the older pop-
ulation target increased pensions, with partial dif-
ferentiation, and better healthcare. The Programme
aimed at a one third reduction in poverty incidence
in 2005 compared to 2002, which was achieved in
2004. From 2001-2004 the proportion of people with
income spent on consumption below the subsist-
ence minimum fell from 28.4% in 2001 to 16.1% in
2004.
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The Program identifi ed the following key poverty reduc-
tion interventions:
• improving the employment status of the population;
• creating economic and legislative frameworks
to develop entrepreneurship, competitiveness
and factory production. This will promote better
production of goods and services, reduced pro-
duction costs and improved remuneration;
• substantially increasing pensions and targeted
benefi ts for disadvantaged groups.
As of 1 July 2005 certain achievements can be identifi ed.
For example, in 2001 the minimum wage and minimum
pension were 80% and 90% of the subsistence minimum
respectively. However, by 2004 both had grown above
this level. (Figure 2.3)
As per the President’s Message to the People of Kaza-
khstan “On the way to fast economic, social and po-
litical enhancement” the minimum wage and pension
were set at 9,200 tenge as of 1 July 2005. This equals
US$70.70 at the offi cial exchange rate, or US$2.40 or
PPP US$7.30 per day.
As of 1 July 2005 the minimum wage and pension, in-
cluding basic pension, exceed the subsistence minimum
by nearly 60%.
The main indicators of socio-economic development
for 2001-2005 therefore demonstrate positive trends
in economic development and the welfare of the pop-
ulation.
Figure 2.3. Main indicators of poverty status in Ka-zakhstan, 2001-2005
Source: RK Statistics Agency
Meanwhile, improved production of goods and services
and achievement of macroeconomic balance have ena-
bled adequately improved welfare of the Kazakhstan
population.
In 2005 GDP per capita will be 3,338.5 tenge, which is
2.7 times more than in 2000. Real income will grow by
43.5%, real wages by 65.7%, minimum pension by 2,700
tenge or 1.8 times and average pension by 2.1 times.
The proportion of the population with income below the
subsistence minimum will be 14.3% in 2005, compared
with 31.8% in 2000.
The gap between incomes of the poorest and richest
10%, which stood at 11.9 times in 2000, has fallen to 7.5
times in 2005 - a value close to those registered in many
developed countries.
2.4. GENDER AND AGE DIMENSIONS OF POVERTY. VULNERABILITY OF OLDER PEOPLE.
Kazakhstan’s current economic and social reforms aim
to facilitate social and human development, including
social comfort and equality.
Equal rights and the freedom of all people to be free from
gender discrimination were fi rst declared in the UN Charter
of 1945 and is currently considered as a means of achieving
gender partnership for development. The Fourth UN World
Women’s Conference held in Beijing in 1995 resulted in the
gender equality concept, underlining the need to restructure
societies and gender relations in order to establish a real and
equal gender partnership in all spheres of life.
Insert 2.2In Kazakhstan men and women can equally access education.
Therefore, there is no need to target to achieve gender equal-
ity at any level of education. In Kazakhstan gender inequality
is observed mainly in political and economical aspects.40
Reforms taken in nearly all economic and social sectors
have resulted in signifi cant disparities in the status of
men and women on the labor market, as well as income
and living standards disparities. Another factor contrib-
uting to this situation was the unequal access of men and
women to fi nancial and credit resources and property,
including land and real estate tenure.
The after-effects of the transition deepened gender in-
equality in political, economic and social spheres, which
can be attributed to:
• the status of men and women in the economy, on
the labor market and socio-labor relations;
• access to fi nancial resources, property and power;
• involvement of women and men in national deci-
sion making;
• division of family income and time resources.
Women lag behind men in all of the above areas.
According to census data, although men are much less educat-
ed than women, they prevail in the overall proportion of work-
ers employed in different sectors. Thus, in 1995–1999 women
only accounted for 45.6-47.0% of employees nationwide.
Gender disparities in remuneration have become
more tangible over the last decade. In the early 1990s
nationwide statistics reported that the average woman’s
wage only amounted to 70% of the average man’s, and
by 2004 this inequality had increased further, to 61.7%.
This situation is associated with the fact that women are
more concentrated in low-paid sectors and that men hold
better remunerated positions within sectors by economic
activities. Thus, in 2003 the female to male wage ratio
was 67.9% in the industrial sector, 61.4% in the fi nan-
cial sector, 76.1% in public administration and 84.6% in
education. In the more ‘feminized’ sectors such as edu-
cation, health and agriculture, with lower remuneration,
gender wage disparities are less pronounced. 40
40 Poverty in Kazakhstan: Causes and Cures UNDP/Almaty, 2003
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Table 2.5. Wages of men and women workers, 1999-2003, tenge
1999 2000 2001 2002 2003 2004Average monthly
nominal wage, total,
including:
11864 14374 17303 20323 23128 28329
men 14304 17603 21511 24847 28476 34648
women 9485 10819 12635 15340 17304 21445
Female to male wage
ratio (%) 66,3 61,5 58,7 61,7 60,8 61,9
Source: Women and Men of Kazakhstan. Brief statistical book. Almaty, 2005
Regional differences also affect gender disparities. The
highest gender disparities in income are observed in ob-
lasts with the highest GRP produced through extraction
industries. In West Kazakhstan oblast average female
wages amount to 46.5% of male wages, while in Atyrau
and Manghistau oblasts this indicator is 47.2% and 47%
respectively.
As per male and female poverty status, at the beginning
of the second millennium one in three Kazakhstani men
(33.2%) had income below the subsistence minimum,
while nearly half the country’s women (44.9%) had in-
comes at this level.
Factors causing gender disparities in remuneration in-
clude:
• disproportional and defl ected distribution of fe-
male workers in different sectors resulting in con-
centration of female labor in low-paid sectors;
• occupational segregation, meaning disparities in
remuneration of women and men workers em-
ployed in the same sector because women per-
form duties or hold positions requiring lower
qualifi cations and because women have limited
access to leadership positions;
• a two-sector employment model is developing in
Kazakhstan resulting in women being forced into
the secondary sector.
These factors often make women more vulnerable in
terms of income.
Gender disparities in employment and income add to
gender disparities in pension security, thus putting older
women at a greater risk of poverty. Approximately 70%
of older women are poor. All retirees are at high risk of
poverty. However, female retirees are at greater risk of
poverty because most of them become lonely in old age
due men’s shorter life expectancy: female life expect-
ancy at birth was 72.5 years in 2004, which is 11 years
more than for men. In 1990 the gap between female and
male life expectancies was lower, at 9.5 years. This indi-
cates serious and growing gender disparities in mortality
rates.
Unequal distribution and access of men and women to
economic resources are still unresolved issues for Kaza-
khstan. Employment in social production, adequate re-
muneration of female workers and a better framework to
reduce disparities in pension savings of men and women
and to support economically and socially the entire older
population are all issues to be addressed by state eco-
nomic and social development programs.
Regarding gender equality, the government has identi-
fi ed four priority policy areas:
• political empowerment;
• economic advancement;
• improvement of women’s and family health;
• eradication of violence against women.
The National Commission for Family and Women’s Af-
fairs under the President of Kazakhstan was established
and is operational in Kazakhstan. The Commission co-
ordinates the implementation of a National Plan for Im-
proving Women’s Status to promote increased involve-
ment of women in the socio-political life of the country,
stimulate women’s NGOs working to advocate for fami-
lies, women and children and support female entrepre-
neurship.
2.5. PENSION COVERAGE FOR HUMAN DEVELOPMENT
As the population ages, pension coverage becomes of
particular importance. Decent old age provision is a pri-
ority for a people-centered state, which Kazakhstan is.
The country has always treated the matter as a priority,
while in recent years it has become a matter of national
importance. The main rationale behind this is that most
retirees have only one income source - their pension.
Therefore the pension’s purchasing power directly af-
fects the welfare, longevity and quality of life of the re-
tired population.
In the initial stages of independence Kazakhstan had the
legacy of Soviet pension schemes based on the solidar-
ity of pension assignment and payment. The pension
amount was calculated at 50% of the wage and varied in
proportion to the work record and wages for fi ve consec-
utive years out of the last ten years of work. Compared
to other countries, the retirement age was quite early. For
example, women and men could retire at age 55 and 60
respectively, while some groups such as military person-
nel, mothers of large families, residents of the Semipal-
atinsk polygon or other ecologically depressed areas,
workers employed in hazardous industries or labor con-
ditions, etc., could retire even earlier. However, the crisis
of the ‘perestroika’ period which affected Kazakhstan in
the mid-1990s, drove all social provision, including the
pension system, to the brink of collapse. This affected
the living standards of the majority of Kazakhstan’s pop-
ulation – above all retired and disabled people whose
benefi ts were cut to a minimum and were not suffi cient
for even minimum needs. This was also the period when the inadequacy of the pension distribution system, based on the ‘solidarity’ of generations in the context of emerg-ing population ageing became apparent.
In Kazakhstan, pension coverage issues were compre-
hensively addressed through pension reforms, according
to which, starting from 1 January 1998 all those em-
ployed and those reaching working age were to be part
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of a saving rather than solidarity based pension scheme.
The Chilean pension system was used as a model. Kaza-
khstan was the fi rst CIS country to initiate such swift and
radical reforms to its pension assignment and payment
arrangements.
As a result of these pension reforms, the following three
pension schemes have been in place in Kazakhstan for
nearly 8 years:
• a completely solidarity-based scheme for which
people who retired before 1 January 1998, are eli-
gible;
• combined schemes for which retirees whose pen-
sions were assigned after 1 January 1998 or are
being assigned at the present time, are eligible;
• a savings-based scheme for which those without
a work record or whose work record was less than
6 months as of 1 January 1998, are eligible.
As the population ages, the fi rst two schemes will fade
away and eventually be completely replaced by the sav-
ings-based scheme.
The reforms affected people already retired at the time it
was initiated, for whom it was mainly benefi cial because
outstanding pension accounts were closed in early 1998
using a loan provided by the World Bank. In addition,
a new law “On Pension Coverage in Kazakhstan” pro-
vided anticipatory readjustment of assigned pensions to
take place on an annual basis to compensate for infl ation.
According to the law solidarity pensions are adjusted
and the minimum pension amount increased.
Nevertheless, the reforms had some negative implica-
tions. For example, pensions were now paid a month
later rather than a month in advance, as was the require-
ment of the previous law.
In the 1990s and the initial years of pension reforms,
readjustment of pensions resulted in a leveling off of
pensions paid to those who retired before the reforms,
meaning that the pensions received did not fully take
into account work record, specialization, position held
or wage used for pension calculation.
One of the implications of inadequate pension coverage
was that the Program to Combat Poverty and Unemploy-
ment for 2000-2002 identifi ed retirees as the principal
and largest (1.8 million) group of the population that
was most disadvantaged. In 2003 in order to assess more
fairly how retirees contribute to the economy and to dif-
ferentiate and increase pensions, a special methodology
was used to re-calculate pensions, depending on the sec-
tor of the economy pensioners had work in and the ratio
of their wages to the average wage paid in that sector.
This ensured an over 40% increase in average pensions,
which rose from 5,818 to 8,198 tenge at 2003 year end.
As a follow-up to the President’s Message to the People
of Kazakhstan “On the way to fast economic, social and
political enhancement”, additional pension payments
amounting to 3,000 tenge per month were effected for
all retirees as of 1 July 2005. This measure allowed the
minimum pension to be fi xed at 9,200 tenge per month,
while the average pension is estimated at 12,000 tenge
per month.
Pension re-calculation and adjustment allowed almost
all retirees to move out of the category of the poor be-
cause their income exceeded both the poverty line and
the subsistence minimum two-fold. Only retirees with
dependents such as unemployed children or grandchil-
dren remained among the poor, receiving targeted state
assistance: there were 3,693 such people as of 1 June
2005, most in rural areas.
At the beginning of 2005 there were 1.6 million pen-
sion recipients in Kazakhstan, of which 97.4% were old
age pension recipients, only 1.9% had incomplete work
records, while the remainder had adequate work records.
The regional breakdown of pension recipients shows
some regional disparities. The highest average nominal
pensions were registered in Almaty (10,067 tenge), As-
tana (9,618 tenge) and Manghistau oblast (9,182 tenge).
The highest average wages were also registered in these
regions. The lowest pensions were registered in South
Kazakhstan (7,549 tenge) and Zhambyl (7,861 tenge)
oblasts. The real pension indices based on pension pur-
chasing power were also highest in Almaty (100.4%),
Astana (100.3%) and Atyrau (99.8%).
To compensate for the high costs of goods and services
the Almaty city Akim agreed an allowance to be paid
out of the city budget to all retirees not receiving special
state benefi ts, effective as of 1999 in Almaty city. This
allowance amounts to 50% of the calculation index and
is considered an addition, for which war veterans also
became eligible as of 2005.
Nevertheless, and despite these re-calculations and in-
creases, average pensions still do not exceed 35% of av-
erage wages. However, ILO Convention 102 fi xes the
income replacement value of pensions between 40-45%
and 75% of the average wage.
The savings-based pension schemes, replacing the soli-
darity-based scheme, must become a pension source for
insurance holders to be paid from contributions accrued
on personal accounts and dividends gained by investing
pension funds in assets through management companies.
Unlike solidarity and distribution based schemes which
are sensitive to demographic changes and wages on the
labor market, the effectiveness of the savings-based
scheme depends on capital markets, and in particular in-
terest rates and infl ation estimations, as well as effective
fi nancial institutions.
Insert 2.3.In cooperation with NGO Moldir, the Almaty Department of
Employment and Social Programming undertook a poll to
collect ideas on how to improve the status of older people.
Most responding retirees noted that not only was it impor-
tant for older people to secure state support but also to get
involved in social life and use their life experience in raising
the young generation. Some older people reported improve-
ments in their living standards and saw fi nancial security or
good pensions as an important strategy to solve their prob-
lems. Poll results indicate three main issues for pensioners:
poor health, low income and loneliness.
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The main elements of the pension reforms were as follows:
• retirement age raised;
• requirements for pension assignment made stricter;
• more extensive work record required for solidar-
ity-based entitlement;
• terms for bonus pension coverage reduced;
• mandatory insurance contributions fi xed at 10%
of wages;
• State Savings Pension Fund created;
• private pension funds stimulated;
• benefi ts such as disability benefi ts, survival ben-
efi ts, etc. qualifi ed as benefi ts to be paid out of the
pension scheme.
Many of these measures were not well-received in socie-
ty, especially removing early retirement arrangements of
many groups of workers and raising the retirement age by
three years for both men and women. This fi xed female
and male retirement at ages 58 and 63 years respectively.
These arrangements were made effective as of 1 Janu-
ary 1998 and progressively throughout the following 3
years, becoming fully effective as of 1 July 2001. At the
same time, economic development, reduced unemploy-
ment and more new jobs contributed to changing atti-
tudes among the working population towards the raised
retirement age. Trends observed in the employment are-
na indicate a growing number of working retirees. The
current unemployment rate for people aged 60-64 stands
at 4.2%, compared with the national unemployment rate
of 8.4%. Employers now have a new headache related to
the dismissal of workers of retirement age, since the Law
“On Labor in Kazakhstan” does not provide for admin-
istration-initiated dismissal of workers upon reaching
retirement age. In 2004, overall life expectancy stood at
66.2 years, 2.7 years more than in 1995, and this upward
trend is predicted to continue for the next 15 years (see
Chapter Two). Therefore, the number of working retirees
is likely to continue growing.
Increased life expectancy, a growing number of work-
ing retirees and a low pension to wage ratio form the
background for a further rise in the retirement age. This
is likely to affect women in particular, who currently re-
tire 5 years earlier than men, while having lower wages
than men. In 2004 men’s and women’s wages averaged
34,613 and 21,362 tenge respectively, with a female
to male wage ratio of 1.62. Meanwhile, many women
take unpaid childcare leave of up to 3 years, according
to the Law “On Labor in Kazakhstan”. Moreover, cur-
rent and predicted female life expectancy remains sig-
nifi cantly greater than for men. The female to male life
expectancy ratio appears to be falling, but very slowly.
Therefore, women are likely to have much lower pen-
sion savings compared to men and will, consequently,
have lower pensions to be paid from the savings-based
pension scheme, which will completely replace the soli-
darity based scheme by the end 2030, as estimated by
the Ministry of Labor and Social Protection. A simple
calculation shows that with a wage of US$300 per month
and 25 years of employment, a woman will receive a
monthly pension worth no more than US$35 for a period
of 19 years. In contrast, with a wage of US$350 earned
for 35 years a man will have a pension of at least US$45
for the same period after retirement.
Pension savings are also problematic for other groups,
including:
• self-employed people such as kiosk workers,
drivers using their own vehicles, freelance con-
sultants, etc. Many of these are contractors and
do not have any legal labor relations with their
employers;
• Farmers and family members employed on their
farms;
• People with no formal income, such as the un-
employed, housewives, mothers of large families,
NGO volunteers, etc.;
• Students studying for a long period of time and
not working;
• Workers whose employers fail to pay pension
contributions either in full or regularly;
• People whose pension contributions were inaccu-
rately calculated.
Unfortunately, there are no offi cial statistics on the pro-
portion or number of people not participating in sav-
ings-based pension schemes. In this context, future pen-
sions to be paid to these groups will be a real burden for
taxpayers, who will have to pay social taxes to provide
for targeted benefi ts and other social assistance benefi ts.
The government will pay such benefi ts in the long term
as the population not participating in the savings-based
pension scheme gets older.
Nearly all of the above-listed groups make no contribu-
tions to savings funds. Most of them simply evade such
payments, although they have individual social codes
and are aware of the mandatory nature of pension con-
tributions. They will eventually get out of the savings-
based pension scheme and will only receive basic pen-
sions when they retire, as specifi ed in the pension law.
In addition to basic pensions, people with employment
records dated before 1 January 1998 will get pensions
from the solidarity based scheme, proportionate to their
employment record.
Sustainable and profi table pension savings funds are an
important factor in ensuring effective pension security.
As the population ages, more people will be entitled to
both pension schemes, while their welfare will depend
on the effectiveness of pension funds and pension sav-
ings investments.
As of 1 March 2005, there was 1 state and 12 private pen-
sion savings funds, with 72 branches and 73 representa-
tive offi ces operating in Kazakhstan. People are free to
choose to deposit their pension savings in any one of
these. There are 7.1 million mandatory pension deposi-
tors, which is 97% of the employed population. How-
ever, less than a half of them make pension contributions
on a regular basis. At the same time, 30,000 people are
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voluntary contributors and around 3,000 depositors are
voluntary professional pension contributors.
As well as being reliable, pension funds must also be
profi table, which depends on a number of factors, includ-
ing fund management effectiveness. It is most important
for pension savings funds to invest pension assets ef-
fectively. There must be reliable pension asset use tools,
since future dividends will be built on both the amount
of contributions and the economic situation, effective-
ness of pension funds and companies managing pension
assets. The mechanism of pension contributions should
be further developed. Moreover, current customers of
pension funds are mainly working people. However, as
the solidarity scheme is replaced by the savings scheme
and the population gets older and life expectancy grows,
this situation will change and may affect returns on pen-
sion funds.
At present, the government amends the pension law on
a regular basis and the above indicated limits may be
revised in the future.
Lack of offi cial statistics makes it diffi cult to determine
average, highest and lowest pension savings. However,
it is known that there are signifi cant disparities in pen-
sion amounts accumulated by different scheme partici-
pants of the same age. Such amounts are built on nomi-
nal wages, regularity of contribution and effectiveness
of the pension fund chosen. As the population ages, such
disparities are likely to grow.
When retired, citizens of Kazakhstan can apply for a sol-
idarity-based pension based on their employment record
and withdraw the accrued pension savings. During the
initial period of the savings-based pension scheme, the
accrued savings were paid all at once, since amounts
were small. This strengthened public confi dence in the
new pension scheme. Today, retirees entitled to pensions
receive pre-taxed 100,000 or after-tax 95,000 tenge an-
nually for as many years as savings allow. In this context,
retirees with pension savings are in a better position than
retirees with an earlier assigned pension because 7,900
tenge resulting from 95,000 tenge divided by 12 months
is a good pension supplement. With an estimated pen-
sion of 12,000 tenge, aggregate pensions can be as high
as 20,000 tenge per month, which is over 3.5 times more
than the subsistence minimum. Participants of the sav-
ings-based pension scheme have more chance of receiv-
ing pension supplements, since the supplement period
and amounts grow as wages increase. Therefore, pension
supplements will be bigger than assigned pensions. It is
expected that in future the supplement payment will be
paid on a monthly rather than one-off basis, based on the
estimated survival rate. Much is being done in this area
and the situation may well change in future.
It should also be noted that people reaching retirement
age now and in the near future without any pension sav-
ings are and will remain more disadvantaged than those
with pension savings. Even those among them with small
pension savings, for example, 200,000 tenge, which is
worth two annual tranches, will be affected by the lack
of pension benefi ts as early as two years after retirement.
In the long run, as the population gets older and workers
with increasingly insignifi cant employment records reg-
istered during the solidarity system retire, disparities in pensions will grow. In this context, there will be greater
disparities in the pensions paid out of the savings-based
scheme with fairly level pensions paid out of the solidar-
ity-based scheme.
In recent years employers have started to make pen-
sion contributions for their employees. This trend will
develop further as the economy and social partnerships
develop and attitudes towards the professional capacity
of each employee evolve. Professional pension schemes
established within individual entities or sectors, as well
as personal pension savings deposited in pension funds
and insurance companies constitute the so-called non-
state pensions sector.
When concluding collective agreements and/or other
employer’s documents, many large entities provide for
one-time benefi ts to be paid to employees who are about
to retire. For example, the collective agreements of JSC
Kazakhtelecom provide for a one-time benefi t equiva-
lent to three average monthly wages on retirement of the
employee. JSC Kazakhstan Temir Zholy has decided to
allow engine drivers and assistant engine drivers to retire
at age 59 with pensions to be provided by the JSC. Some
other organizations such as JSC Bakhus provide quar-
terly benefi ts worth 3,000 tenge and food packages to be
given to retiring employees.
Thus, meeting the needs of future retirees is challenging
both at the level of individual pension savings companies
and the state pension scheme as a whole. The majority
of people consider pension deductions as some form of
extra tax. Therefore, people with no formal labor ties are
not eager to become “engaged” in pension schemes. On
the other hand, effective management of pension savings
and the stability of the pension scheme will affect the
majority of working people and all citizens eventually.
This may cause additional challenges as the population
ages.
CONCLUSIONS
Poverty can be reduced by facilitating both the develop-
ment of the country as a whole and the self-fulfi llment
of each person. Tackling poverty entails a number of
factors, such as sustainable economic growth, better em-
ployment opportunities, effective social policies, sound
public administration and developed democratic institu-
tions. In order to reduce poverty it is essential to develop
and implement national poverty reduction strategies that
take into account, fi rst and foremost, the interests of the
poor - many of whom are older people.
Insert 2.4.“Kazakhstan is a beacon for other CIS states, since it pio-
neered the pension reform and, accordingly, can be a model
of a smooth shift from a solidarity to a savings based pension
scheme. At the same time, pension funds should be looked at
in the long run, since current contributors with a median age
of 40 will retire in about 20 years. It is only then that we will
be able to assess the success of Kazakhstan’s savings-based
pension scheme”.
Chris de Coning, regional director, ABN AMRO Asset Management for Cen-tral and Eastern Europe (as reported by Kazakhstan Today)
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In the future the prevalence of older people compared
to other age groups will also affect the consumer mar-
ket in terms of provision of food and non-food products
for older people. At the same time, it should be born in
mind that older people’s fi nancial resources are limited
and that the commodity market will need to be devel-
oped in a particular way in order to meet the needs of the
elderly. However, provided the correct market research
strategies are used, this situation can have benefi ts. Such
economic sectors as light and food industries should ca-
ter for an older age demand.
Infrastructure tailored to the needs of older people should
be developed and made more user-friendly, although
this will require considerable investment. Also, systems
should be put in place to encourage employees of local
municipal organizations to provide home care services
for lonely older people such as buying food, cleaning
and basic medical assistance.
Population ageing necessitates better solidarity and sav-
ings based pension schemes. Pensions paid out of the
solidarity based scheme should be raised in proportion
to increasing consumer prices.
In order to protect pension savings, pension asset invest-
ment tools should be used more widely and the fi nancial
sustainability and reliability of entities constituting the
savings based pension scheme ensured.
The pension annuity market should be developed to en-
courage married couples to purchase annuities, which
will entail monthly payments worth at least the mini-
mum pension to be paid from the savings-based pension
scheme.
Currently, the government is considering increasing the
tax-free pension to a minimum pension and providing
state funding of mandatory pension contributions for
female workers on maternity or under-three childcare
leave.
Regarding voluntary savings-based pensions, voluntary
and professional pension schemes should be encouraged
and voluntary professional pension contributions made
to workers, including those of government-funded or-
ganizations, whose professions are on the Register of
Professions.
It is expected that the government will remain the prin-
cipal source of funding for social security schemes and
ensuring timely and adequate social benefi ts. This will
change gradually as the government withdraws and
mechanisms of social insurance are made more effec-
tive. Meanwhile, growing differentiation of pensions
and the need for preventative measures to ensure social
stability should be emphasized.
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LABOR MARKET, EM-PLOYMENT AND OLDER PEOPLE
CHAPTER 3
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3.1. LABOR MARKET AND GENDER DIMENSIONS OF EMPLOYMENT
As mentioned in the previous chapter, employment is
one of the major causes of poverty. Poverty and labor
are closely interlinked because labor is the main source
of income for people.
Transition to a market economy caused some signifi cant
changes on the labor market both within sectors and in
terms of labor status.
In 1995-1999 the proportion of the employed popula-
tion was declined steadily, while since 2000 it has been
increasing consistently. Overall, over the last decade the
employment rate reached 91.6%, marking a 9.6% in-
crease and totaling 7.2 million employed people in 2004,
which is 630,300 more than in 1995. The economic ac-
tivity rate - the ratio of economically active population to
the overall population - was 69.9%. This means that only
70% of the population were economically active and
30% inactive. In the overall economically active popula-
tion women accounted for 3.8 million people (49%).
Table 3.1 Main labor market indicators in Kaza-khstan
2001 2002 2003 2004Economically active population,
thousands 7479,1 7399,7 7657,3 7840,6
Economic activity rate, % 70,2 70,1 70,0 69,9
Employed population, thousands 6698,8 6708,9 6985,2 7181,8
Employment rate, % 89,6 90,7 91,2 91,6
Economically inactive population,
thousands3175,8 3155,3 3278,6 3383,4
Economic inactivity rate, % 29,8 29,9 30,0 30,1
Economically inactive population
because of retirement, thousands1584,2 1565,6 1461,9 1425,1
Proportion of retired people out of
economically inactive population, %49,9 49,6 44,6 42,1
Source: Republic of Kazakhstan: 2005 (brief statistical reference). Almaty, 2005
The employed population is relatively young. The medi-
an age of employed people is 37 years, i.e. people at ages
25-34 accounted for the bulk of the employed population
(29.15%), while young people aged 15-24 made up 16%
of those in employment. One in three employed people
had secondary and higher education, while one in four
had vocational education.
The larger proportion of the economically inactive popu-
lation consists of retirees (42.1%) and full-time students
(37.2%) as well as disabled people (7.4%) and home-
makers (5.2%). Women and youths aged 16-29 remain
the most vulnerable groups on the labor market.
Self-employment is common in Kazakhstan, with a
steadily growing proportion of self-employed. In 1995
hired employees accounted for 83.4% and self-em-
ployed people for 16.6% of the employed population,
but by 2004 these proportions had changed to 62.2% and
37.8% respectively.
This trend poses a risk of increasing social disadvan-
taged because the self-employed are usually not part of
the social security scheme or social funds, either as users
or contributors.
There are more self-employed women than men. In
2004 self-employed women accounted for 42.3% of
female workers, while self-employed men made up
36.8% of male workers. The rural employed popula-
tion exceeds the urban by over 2 times. Self-employed
women account for 59.2% and 25.3% of rural and
urban female workers, while self-employed men for
51.5% and 22.8% of rural and urban male workers, re-
spectively. Self-employed women tend to work in such
sectors as clothes and food sales, public catering and
agriculture.
Women have less access to resources required for busi-
ness activities, therefore they are mostly employed in
small businesses, often in the informal sector which
does not generate as much income as generated by
men, who are more engaged in large and profi table
businesses.
Figure 3.1
Source: RK Statistics Agency
The limited access of women to capital, fi nancial resourc-
es and information has largely affected rural women: only
10% of farms in Kazakhstan are headed by women, who
own only 2.9% of agricultural land resources and these
Insert 3.1Self-employment means employment in which remuneration
directly depends on income generated through production of
goods and services where personal consumption is consid-
ered part of the income.
According to the International Classifi cation of Employment
Status, the self-employed fall into the following three cat-
egories:
Employers are individuals running a business or otherwise
engaged in entrepreneurship with one or more hired employ-
ees.
Self-employed people are individuals working either inde-
pendently or with one or more partners and engaged in activ-
ity on a self-employment basis without hiring employees for
permanent employment.
Unpaid family workers are individuals who generally are em-
ployed in an enterprise (or household) managed by a relative,
and are not paid.
Members of production cooperatives are individuals who are
members of a labor cooperative engaged in entrepreneurial
activities.
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are less productive in terms of capacity, size and loca-
tion, due to women’s limited access to loan and credit
resources. Rural women do not have liquid property to
be used as collateral, making it more diffi cult for them to
set up farms and making their businesses less effective
as compared with those of men.
The economic capabilities of women and men are also
largely determined by professional gender segregation.
Horizontal professional segregation refers to uneven
distribution of men and women within sectors and oc-
cupations. The majority а female workers are employed
in low-paid sectors such as education (75.3% of the to-
tal), healthcare and social services (79.2%), hotels and
restaurants (68.8%). In contrast, most male workers are
employed in public administration (77.4)%, construc-
tion (82.7%), manufacturing (69.1%), electricity, gas
and water production and distribution (72.3%) and real
estate (60.8%).
The gender imbalance in employment, quality of jobs,
labor conditions, professional careers, income and so-
cial security has, to a large extent, been a result of di-
rect foreign investment in Kazakhstan’s economy. Thus,
46% of resources were invested in the oil and gas sec-
tor which traditionally employs more men, with only
10% invested in industries, half of which was invested
in metallurgy. Thus, a male workforce predominates in
sectors with highest income-generation potential, while
such sectors as light and food industries, which tend to
employ women, are less profi table and tend to develop
at a slower rate.
Rapid development of extraction, the real estate sector
and fi nancial markets has been more advantageous, fi rst
of all, for men in terms of new jobs and better income,
while the status of women on the labor market has re-
mained almost unchanged. Women’s access to economic
resources is still limited.
Vertical segregation means unequal hierarchical distri-
bution of women and men. In Kazakhstan this is dem-
onstrated by the fact that men account for 76% of senior
offi cials and their deputies in local authorities. Women
are more represented in middle management and there
are far fewer women than men holding senior positions.
Thus, the proportion of parliamentary seats held by
women is only 9.6%. This places Kazakhstan 85 out of
128 in the world, which is lower than the average indica-
tor for both European countries and African, Asian and
Pacifi c countries. In the context of democracy, more or
less equal representation of women and men in govern-
ment authorities and in parliament in particular helps to
lobby and fi nd adequate solutions to many issues con-
cerned with gender inequality.
Figure 3.2. Men and women in the Parliament of Ka-zakhstan
data provided by the Inter-parliamentary Union, April 2005. Visit http://www.ipu.org
Kazakhstan still has much to do to ensure equal rights
for men and women in terms of social participation. In
particular, greater representation of women in public ad-
ministration would help to better address many gender-
related social and economic concerns of different popu-
lation groups.
Table 3.2. Population by economic activity status and age, numbers of people
Total
Economic activity status
Economically active
Including of whichEconomically
inactiveEmployed Looking for another or
additional job Unemployed
Total population 11223954 7840554 7181755 540607 658799 3383400Including people aged
60–64 438112 150565 144294 2471 6271 287547
65–69 506277 81272 81272 – – 425005
70 and older 627177 26302 26302 – – 600875
Men60–64 175572 89079 84251 2442 4828 86493
65–69 212586 41482 41482 – – 171104
70 and older 197928 11790 11790 – – 186138
women60–64 262540 61486 60043 29 1443 201054
65–69 293691 39790 39790 – – 253901
70 and older 429249 14512 14512 – – 414737
Source: Statistical Yearbook of Kazakhstan, Almaty, 2005
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Feminization of employment, i.e. increasing the propor-
tion of employed women, tends to result in women being
relegated to low-paid, unproductive and unstable jobs. The
processes of female integration and marginalization go
hand in hand. A cheap and mobile female workforce is per-
ceived as a natural and expanding resource. Less income
for and social achievements of women is determined by the
fact that by having babies and therefore leaving the labor
market for certain periods of time, young women lose their
qualifi cations and skills and miss promotion opportunities.
3.2 EMPLOYMENT OF OLDER PEOPLE IN KAZAKHSTAN
In 2004 the share of people aged 60+ in the overall popu-
lation aged over 15 was 14%, with 11% and 16.6% of
them being men and women respectively. People aged
60 and older accounted for 3.5% of the employed popu-
lation, including 3.7% men and 3.2% women.
The share of employed older people in the overall popu-
lation aged 60+ was 16.%. Some 23.5% of older men
and 11.6% of older women in the overall male and fe-
male populations aged 60+ were employed.
Over half (54.7%) of people aged 60 and more are eco-
nomically active (Figure 3.2). The female economic activ-
ity rate is 23.4% in the age group of 60-64, 13.5% at ages
65-69 and 3.4% at ages 70+. The male economic activity
rate is higher in all age groups. Thus, 50.7% of men aged
60-64 are economically active, 19.5% at ages 65-69 and
6% at ages 70+. There are fewer older women than men
employed in public production. Both female and male
employment rates decrease in the older age groups.
Despite the fact that the percentage of employed older women
versus men is lower, the numbers of employed older women
and men differ insignifi cantly, due to the fact that in the older
age groups women outnumber men by 1.5 times.
The share of the employed rural population aged 65+ fell
from 2.8% in 2002 to 2.0% in 2004. Urban people of this
age group are less economically active, at 2.2% in 2002
and 1.1% in 2004.
The greatest proportion of employed older people in Ka-
zakhstan is registered in Karagandy oblast: 20,100 peo-
ple in 2002 and 12,300 people in 2004, which was 3.6%
and 2.2% of the total oblast population respectively. In
Kostanai oblast there were 11,900 and 8,500 employed
older people in 2002 and 2004 accounting for 4.6% and
3.1% of the overall oblast population.
The proportion of employed older people declined most
noticeably in Almaty, from 10,200 people (2.0%) in
2002 to 2,100 people (0.4%) in 200441.
Against a background of a falling share of employed old-
er population throughout Kazakhstan, it is noteworthy
that the only oblast where the proportion of employed
older people has been increasing, although only slightly,
is North Kazakhstan – 4,400 people in 2002 (3.7%) ris-
ing to 4,600 (4.0%) in 2004.
Rural employment in old age is higher than that of the
urban elderly due to seasonal agricultural activity that
provides extra income for agricultural households and
ensures extra employment in old age. In rural areas job
opportunities for the young are limited and many young
people move to towns and cities seeking work, thus re-
ducing the rural population and increasing the share of
the elderly in the rural workforce.
Working in public households and on personal land plots
brings some income that helps compensate for low pen-
sion benefi ts provided to the rural elderly. Certain differ-
ences between the pension benefi ts of rural and urban reti-
rees may be attributed to the fact that pension amounts are
calculated according to payment for the work done by the
rural population and this is less than urban wages.
The level of poverty in urban areas is lower than in rural
areas, which can be attributed to higher incomes and bet-
ter education of the urban population. Urban retirees are
generally better educated and have more opportunities
to fi nd jobs that do not require physical strength but rely
more on knowledge and skills.
3.3. ECONOMICALLY ACTIVE POPULATION AND INVOLVEMENT OF THE RETIRED POPULATION IN ECONOMIC DEVELOPMENT IN THE CIS
Improvement in socio-economic spheres over recent
years in most CIS countries has helped create a better
situation on the labor market, with unemployment rates
starting to decline while vacancy and employment rates
started to increase between 2003 and 2004.
In 2004 the economically active population (employed
and unemployed) in CIS in general was estimated to be
128 million people, while the economic activity rate in
these countries was approximately 50%, which com-
pares well with the economic activity rates of Austria,
Great Britain, Germany, Canada, USA, Japan and other
developed countries.
41 Economic activity of Kazakhstani population by region. 1995-2004.
Statistical book. Almaty, 2005.
Insert 3.2.Employment in retirement In different countries of the world factors motivating retirees
to continue working are studied to defi ne the forms of so-
cial security aimed at meeting the needs of older people. In
developing countries retirees keep working mainly because
their pension benefi ts do not meet their basic needs, while in
a developed country like the USA, for example, the number
of either women or men aged over 65 who keep working has
increased in recent years. Moreover, the USA is planning
to increase the retirement age to 67 by 2020. This decision
will be implemented over 25 years, as the US government
believes that social change should be gradual.
Motivation aimed at successful working activity and social
recognition very often becomes more powerful at retirement
age. Therefore, career guidance, professional retraining and
seeking a job for people at preretirement age should be in-
cluded in social services for the elderly. Such services will
help to slow down ageing rates, maintain workforce size and
restore the working capacity of the elderly.
* Irina Grigoryeva. SOCIAL SERVICES FOR THE ELDERLY AND COM-MUNITY DEVELOPMENT: IS WESTERN EXPERIENCE APPLICABLE IN RUSSIA? http://www.strana-oz.ru/?numid=24&article=1069
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The number of non-hired workers (employers and oth-
er self-employed people) in Kazakhstan changed little
from the 37.6% recorded in 2003 to 37.5 of the total em-
ployed recorded in 2004, while in Moldova it changed
from 32.5% to 32.2%, in Russia from 6.5% to 7%, and
in the Ukraine from 12% in 2002 to 12.4% in 2003. The
percentage between retirees and the able-bodied popula-
tion and economically active population in CIS countries
is shown in Table 3.3. In most countries the number of
retirees decreased by 1-5% against the employed popu-
lation. In Belarus it did not change, while in Azerbaijan
and Armenia it increased by 1% and 11% respectively.
In 2003 in Kazakhstan the ratio of retirees to able-bod-
ied population totaled 17.6% and 24% compared with the
economically active population, which is considerably
lower than in such countries as Russia, Ukraine, Belarus
and higher than in Azerbaijan, Kyrgyzstan and Tajikistan.
A considerable number of retirees continue to work.
For example, in accordance with a survey by the Rus-
sian State Statistical Committee at the end of 2002, 4.1
million retirees (14% of total retirees or 6% of those in-
volved in economy) were still working; besides, 445,000
retirees (or 1.5% of all retirees) were seeking a job. Ac-
cording to surveys of the workforce in Ukraine in 2002
retirees made up 7.7% of the employed population aged
15-70, with another 13,000 retirees seeking work.
3.4 EMPLOYMENT OF OLDER PEOPLE IN THE WORLD
Certain features of employment in old age vary slightly
in different countries of the world. In virtually all coun-
tries the elderly make up a minority of the economically
employed. Their share in the total employed varies be-
tween 1% and 7% (An ageing world: 2003. International
population reports). The second common feature is the
age of the employed elderly – they retire at the retire-
ment age and the older they are the less their role in
the active population. The third feature common for all
countries is that the level of participation of elderly men
is higher than that of elderly women.
Interesting disparities in the level of employment in old
age are discovered when surveying the development rates
of the countries. Thus, the employment level of the elderly
population is varies by country: it is lower in the devel-
oped compared with the developing world. In some de-
veloped countries only 2% of men aged 65 and over are
involved in the labor market, while in some developing
countries more than a half of the elderly men are economi-
cally active (An aging world: 2003. International popu-
lation reports). Considerable differences in the activity
levels of labor resources on a global scale are connected
with public welfare: countries with high Gross Domestic
Product have lower levels of participation of the elderly
in the work force. In developed countries the elderly may
plan for a decent life by making pension contributions and
relying on the system for social insurance, while in poorer
countries these systems, due to their weak development,
often fail to provide a decent life for the elderly who have
to stay on the labor market longer to get extra income.
In developing countries the elderly population - the majority
of whom are women - make up the main share of the poor
population who receive little care and external fi nancial sup-
port. These countries have small institutional and economic
resources to meet the elderly’s needs and there is a need to
establish economic and social policies to meet these needs.
These are the reasons for the considerable decline in elderly
men’s employment level in developed countries: social insur-
ance improvements and changes in production organization,
as well as the nature of employment as new technologies are
introduced meaning that some elderly people prefer to retire
rather than try to learn new skills. In countries with high un-
employment, formal and informal pressure on the elderly
to leave to make way for younger and more promising staff
may be an additional reason for leaving the labor market.
As mentioned earlier, elderly employment in Kazakhstan is
not as high as that of developing countries but signifi cantly
higher than in developed countries. In Kazakhstan there is a
trend that is common for all countries: falling employment
levels of the older population in older age groups, while this
trend is even more evident among women.
3.5 THE INFORMAL ECONOMY AND INCOME IN OLD AGE
The economic crisis of the 1990s in Kazakhstan caused
dismissals and the shutdown of most enterprises and
negatively affected the living conditions of the major-
ity of the population. Pension and social benefi ts did not
meet even basic needs of the elderly and other groups
covered by the social security system.
People who lost their permanent jobs, the elderly and
groups entitled to social benefi ts allocated from the state
budget suffered dramatically: until 1998 the average
pension was lower than the subsistence minimum. That
amount increased slightly over the next two years and
became a bit higher than the subsistence minimum. Be-
tween 1996 and 2000 the proportion of the elderly varied
between 53% and 40% of the total poor population.
A considerable proportion of the population - a half of which
was the elderly - became involved in the production and sale
of articles and services that were manufactured in households
or informal enterprises, including illegal articles.
In 1999 the self-employed made up 45.1% of the total able-
bodied population. Growth of the able-bodied population
that remained uninvolved in the organized economy led to
an expansion of the informal or ‘shadow’ economy.
Figure 3.3. Trends in the share of informal economy in GDP, Kazakhstan, 1990-2004, % of GDP
Source: RK Statistics Agency
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In 1997 the share of the informal economic sector made
up no less than 37.9% of Gross Domestic Product, hav-
ing increased three times in comparison with 1990. It has
since declined to a fi gure of 21% in 2004 – still a fi fth of
economic activity.
The informal economic sector is defi ned as a combi-
nation of small economic units and economic activity
taken by household entities and individuals. Such terms
as “informal”, “shadow” and “noncontrolled” economy
are often interpreted as the same but they are not iden-
tical. Any non-registered and subsequently non-taxable
economic activity, including a criminal one (smuggling,
drug sale, prostitution etc) and non-registered activity
of large and middle sized entities is referred to as the
shadow economy. The informal sector includes the self-
employed population and those hired by entities of the
informal sector or private individuals. However, the in-
formal sector does not include people engaged in prohib-
ited activities or unregistered people working for entities
of the formal sector.
The proportion of the self-employed population increased
four times from 1991 to 1995 and totaled 1,085,000 peo-
ple. In 1995 the unemployment rate (estimated regard-
less of the self-employed population) stood at 11%. In
general, between 1991 and 1995 27.7% of the economi-
cally active population was working outside organized
production. This caused progressive growth of poverty
and the production of goods and services in household
conditions.
As state pension provision for the elderly deteriorated
the elderly started to manufacture articles on farmland
and smallholdings, to let their apartments, to sell home-
made articles and articles manufactured in the uncon-
trolled economic sector, including the common sale of
spirits, food, tobacco and garments.
Labor resources for non-organized business constituted
nationals who had lost their jobs in the organized econo-
my and had shifted to self-employment, plus the elderly,
whose pensions below the value of the consumer basket.
Shifting to self-employment as an attempt to survive in
a poor labor market mainly involves working in the in-
formal economy, which rarely corresponds to the educa-
tion level and qualifi cations of the worker. Subsequently,
involvement in the informal economy is accompanied by
considerable social risks.
When describing the life of the elderly in Kazakhstan
during the economic crisis and signifi cant decline of
payments it is worth noting that due to the mentality of
the younger Kazakhs and others their elderly parents
were generally taken care of.
After the economic crisis period the employment rate
started to increase and poverty to decline due to devel-
opment of small entrepreneurship (Figure 3.4.). During
times of tough macroeconomic policies the poverty situ-
ation had started to get worse. It affected the living con-
ditions of the rural population, retirees and other socially
disadvantaged groups in the most negative way.
It would be wrong to accept pension benefi ts provided by
the state as the sole living standard of the elderly of Ka-
zakhstan. Throughout their lives these people acquired
personal assets and real estate that in the new economic
conditions became important factors in the retirees’ eve-
ryday economic security.
The majority of the elderly had their own accommo-
dation or lived with their employed children. Moreo-
ver, most urban retirees had country land plots and
orchards.
Healthcare and transportation in cities and towns was
provided to the elderly for free or at a discount.
In rural areas most retirees were in charge of their
families and had their own houses, livestock, poultry,
plots of land adjacent to houses, agricultural tools and
vehicles.
Another group of the elderly who did not have coun-
try land plots or land adjacent to houses and who lived
in apartments on their own had to adapt to the crisis
period. Many started to live in the same apartment and
to let their free apartments or to sell their apartments
for offi ces and small enterprises.
3.6 CREDIT POLICIES: OPPORTUNITIES FOR THE ELDERLY
Access to fi nancial services like credit, saving and
insurance, along with access to the main socio-eco-
nomic resources and political freedom is one of the
main indicators of a society’s development.
Development of fi nancial institutions and their con-
ditions often involves limited access of low-income
groups to these services due to minor or no guarantees
ensuring credit and interest repayments.
Widespread access to fi nancial services and their pro-
vision to the low-income population is the most pow-
erful tool for eradicating poverty by expanding oppor-
tunities for each member of society and thus reducing
the vulnerability of all marginal groups.
In terms of socio-economic development the Kaza-
khstan government has described assistance to the
low-income population as the priority target. One of
the most effi cient methods in achieving this is devel-
opment of small enterprises and one of the key com-
ponents is the availability of microcredit for individ-
ual entrepreneurs.
Creation and development of the system providing
credit to the population started with adoption of the
law on Banks and Bank Activity in the mid-90s, while
development of microfi nancing was promoted after
adoption of the law on Credit Enterprises and Micro-
credit Organizations.
The need to overcome most of the economic problems
faced during the transition period brought signifi cant
growth in the use of microcredit by households, and
Insert 3.3.Informal sector entities are entities owned by households or
non-corporate entities owned by households that produce
goods and services without a legal identity of their own.
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by 2004 there were 50,600 credit recipients. Devel-
opment of these fi nancial services is possible as en-
terprises of the formal and informal economic sector,
households and the unemployed may become its cli-
ents. However the above fi gure equals only 2% of the
poor population and more active development of these
fi nancial services is clearly necessary.
Microcrediting is an effi cient instrument for enterprise
development, particularly for women. Women are faced
with more problems when opening or extending their own
business due to their traditional social roles such as mater-
nity and housekeeping. At the same time their high level
of education and sense of responsibility means that they
demonstrate a higher level of credit repayment than men.
In spite of active participation of associations to support
women and development of female entrepreneurship,
women’s participation in credits is still insuffi cient.
Individual credit rules provide for an average interest
rate varying from 3 to 7%, collection of rates fi xed under
Figurey, credit repayment security or guarantees made
by third parties.
Not all elderly people may apply for microcrediting to
solve their economic problems because the conditions
on which individual credits are granted may not be ac-
ceptable to them. By establishing more fl exible and pref-
erential credit conditions for the elderly the government
may extend opportunities for the elderly to improve their
own living conditions.
Extension of opportunities and improvement of credit
conditions for elderly households could promote im-
provement of living conditions. Creation of such condi-
tions for the solution of economic household problems
when two or three generations live together, besides
improvement of the elderly’s living conditions, could
strengthen family relations as a whole and could pro-
mote further development of intergenerational relations
by economic confi rmation of the importance of intergen-
erational values.
3.7 MIGRATION PROCESSES
Migration processes and their different aspects are im-
portant in terms of the ageing process:
• the capacity for socio-political and economic ad-
aptation of elderly immigrants and pressure on
the socio-political and economic system of the
country;
• the demographic and professional structure of the
migrating population and changes in the size of
the able-bodied population caused by migration
processes.
Two aspects are noteworthy: emigration/immigration
of the elderly from/to Kazakhstan and the ageing of mi-
grants.
In the 1990s Kazakhstan faced problems common for
all post-Soviet transition countries: high unemploy-
ment rate, absence of perspectives for job placement
and a high emigration rate. From 1991, when Kaza-
khstan was declared independent and at the starting
point of the market economy, a high migration rate
became one of the country’s defi ning socio-political
and economic issues.
Some 1,209,814 people emigrated from Kazakhstan
between 1995 and 2005. According to surveys, the
main reason for emigration was economic crisis, na-
tional policy and ethnocultural reasons42. Most sig-
nifi cant losses of population from emigration were
detected in northern Kazakhstan where the majority
of the population came from Russia, Ukraine and Be-
larus. The infl uence of the ethnic factor on migration
process can still be seen today (see table 3.4).
Table 3.4. International migrants by ethnic origin (people)
Migration bal-ance Immigrants Emigrants
2004 2003 2004 2003 2004 2003All ethnic groups +3381 –9062 69166 65308 65785 74370
Of which:
Kazakhs +44338 +34599 47779 39001 3441 4402
Russians –26708 –26132 12528 15182 39236 41314
Ukrainians –3772 –3940 1397 1823 5169 5763
Uzbeks +631 +795 853 1100 222 305
Tatars –603 –622 829 1006 1432 1628
Germans –10916 –14629 903 1110 11819 15739
Uigurs +158 +192 224 239 66 47
Other ethnic groups +227 +566 4594 5717 4367 5151
Ethnicity not specifi ed +26 +109 59 130 33 21
Source: data provided by the RK Statistics Agency .
In the 1990s poor social policy, particularly in pension
provision and healthcare, was an important factor that
infl uenced migration of the elderly from Kazakhstan.
The ageing structure of emigration over the last 6 years
is shown in Table 3.2. As a rule, the able-bodied popu-
lation made up the major share of emigrants (63-65%)
but since 1999 the share of emigrants aged over 65 in-
creased from 6.9% in 1999 to 9.4% in 2004, the majority
of whom were parents of emigrants of working age who
had left earlier and found a job abroad.
Table 3.5. Emigrants and immigrants by age (people)Age (years) 1999 2000 2001 2002 2003 2004
immigrants0–15 7 194 10 676 10 308 10 689 12 472 13 851
16–62 (57)* 29 480 32 707 39 096 43 645 48 666 50 167
63 (58)* and older 4 646 4 059 4 144 3 877 4 437 4 301
emigrants0–15 34 322 28 426 25 120 20 053 11 866 10 108
16–62 (57)* 111 190 105 902 97 038 84 863 52 991 47 050
63 (58)* and older 11 346 21 421 19 552 15 307 9 033 8 372
balance0–15 –26 284 –17 750 –14 812 –9 364 +606 +3 743
16–62 (57)* –81 555 –73 195 –57 942 –41 218 –4 316 +3 117
63 (58)* and older –17 788 –17 362 –15 408 –11 430 –4 596 –4 071
* female age in brackets
Source: data provided by the RK Statistics Agency
In recent years external migration has changed dramati-
cally. In 1998 the emigration rate started to decline stead-
42 Lebedeva N.M. New Russian Diaspore. Socio-psychological profi le. - M.,
1995. Migration and New Diaspores in the Post-Soviet States / Edited by
V.А. Tishkov. Moscow, 1996; Migration of Russian-Speaking Population
from Central Asia: causes, implications and prospects / Edited by G.
Vitkovskaya. Moscow: Moscow Karnegie Center, 1996.
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ily. Besides, in 1998 the number of immigrants started to
increase. Currently there appears to be a sustained trend
to eradicate the gap between emigration and immigra-
tion rates and by 2004 the migration balance had become
positive (Table 3.6.).
Table 3.6. External migration, Kazakhstan, 1999-2004 (people)
year immigrants emigrants migration balance
1999 41320 164947 –123627
2000 47442 155749 –108307
2001 53548 141710 –88162
2002 58211 120223 –62012
2003 65584 73890 –8306
2004 68319 65530 +2789
Source: data provided by the RK Statistics Agency
Dynamic economic reforms and favorable economic con-
ditions (including high oil prices) have helped stimulate
immigration: higher wages than in neighboring countries
is a signifi cant economic incentive for immigration to Ka-
zakhstan. The employment rate, different job opportuni-
ties and dynamic development of the labor market are also
important factors. A more favorable economic climate,
more developed market infrastructure, a liberal interna-
tional migration policy and a more attractive labor market
all lead to economic rather than ethnic factors becoming
the more signifi cant drivers for migration and the size of
the able-bodied population increases as a result. Thus, in
2004 73.4% of immigrants and 71.9% of emigrants were
people of working age.
Current migration processes in Kazakhstan may be di-
vided as follows:
• emigration and immigration of ethnic Kazakhs (in-
cluding Oralmans);
• emigration and immigration of other ethnic groups
(including workforce migration);
• in-country migration;
• re-emigration;
• transit of migrants;
• illegal migration (including human traffi cking).
The above groups inevitably include the elderly, although
the majority of migrants are people of working age. As
ageing of immigrants becomes an important issue, atten-
tion should be paid to the structure of people aged 40-50:
the majority of these people are working migrants.
Oralmans and working migrants coming from neighbor-
ing countries are most affected43.
Although the Law on Oralmans arriving under immi-
gration quota states that the government shall allocate
funds to purchase accommodation and lump-sum ben-
efi ts44, Oralmans point out that they are poorly advised of
how to move to Kazakhstan and how to be included in
43 Refer to: Migrants in the new capital of Kazakhstan. Almaty: International
Organization for Migration Kazakhstan, 2005. P. 5-6.
44 Governmental Decree #1194 “On Approving Statement on Target Use of
National Allocations for Oralmans” of 18 August 1999 (as amended on 28
February 2004).
the quota - as there are no written criteria it is diffi cult
for them to evaluate their chances. As a rule, Oralmans
move from poor countries and need different support:
healthcare, accommodation, language, qualifi cations etc.
Usually Oralmans are predominantly the young and the
elderly. The majority of them move from Uzbekistan,
Mongolia and Russia, with a minority from Kyrgyzstan,
China, Tajikistan and Turkmenistan. Owing to rich kin-
dred relations they tend to have relatives abroad, most of
whom are elderly as they are less mobile. It is expected
that Oralmans will be eager to bring their elderly relatives
to Kazakhstan. Before moving to Kazakhstan, Oralmans
have generally lived in rural areas.
Most of labor migrants from neighboring countries are
migrants with non-regulated status and therefore suffer
from being exploited by employers or the authorities. The
majority of immigrants are older than Oralmans, with
two-thirds aged 25-54. Usually, before moving to Kaza-
khstan immigrants have lived in urban areas. Demand for
immigrants is largely due to the fact that between 1991
and 2003, 2.9 million people (20% of the population) left
Kazakhstan and 65% of them were the able-bodied45. As
a large number of highly-qualifi ed people left the coun-
try a hole was left in the labor market, with a shortage of
qualifi ed people to work in industry, education and some
other fi elds. Workforce migration to Kazakhstan is also
stimulated by economic problems in Kyrgyzstan and Uz-
bekistan and post-war consequences in Tajikistan. Immi-
gration can be divided into two unequal fl ows:
• legal arrival of expatriates;
• unregulated workforce migration.
The second of these labor fl ows is far greater than the fi rst.
11,800 immigrants are licensed while unregulated work-
force immigration is estimated to involve from 200,000 to
500,000 people46.
In-country migrants are mainly people aged 25-39
(43.5%) and 15-24 (30.6%). In-country migration in Ka-
zakhstan is has two main reasons:
• general pattern of extension of modern economic
sectors (industry, municipal construction, serv-
ices) at the cost of traditional (agricultural) sec-
tors where labor productivity is low and therefore
poorly paid;
• great mobility of the urban population and their
readiness for external migration.
The main reason for migration from rural to urban areas
is income inequality and subsequently the majority of
in-country migrants are able-bodied people. Due to the
introduction of new agricultural technologies, reduced
agricultural employment and demand for rural labor will
become the main reasons for in-country migration. Cur-
rently, more than 35% of the able-bodied population are
45 Sadovskaya Е.Yu. Labor Migration in Central Asia: Causes and Socio-
Economic Implications // Migration in Central Asia: Challenges and
Prospects. Almaty: Dyke Press, 2005. P. 19. Also see: Sadovskaya Е.Yu.
Migration in Kazakhstan at the Turn of 21st Century: New Trends and
Prospects. Almaty, 2001.
46 Sadovskaya Е.Yu. Labor Migration in Central Asia: Today’s Trends.
Almaty, 2004.
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employed in agriculture, forestry and fi sheries47 although
wages in this sector are the lowest48 and there would ap-
pear to be considerable potential for more in-country mi-
gration. The most attractive places for rural migrants are
Astana, Almaty and oblast centers.
The high mobility of the urban population and their readi-
ness for external migration are the main reasons for de-
creases in the urban population from 1991 – 57.3% to
1999 – 56% despite a considerable fl ow of the rural popu-
lation into urban areas. This situation started to change
due to the declining of intensity of international migration
from 1999, and by 2004 urban areas made up 56.7% of the
country’s population.
Re-emigrants are mainly people who left Kazakhstan for
Russia in the 1990s but who have returned in the 2000s.
As a rule, in Russia they lived in the cities of Siberia and
Central Russia. They emigrated from Kazakhstan as they
wanted to change their economic and social status. Their
reasons for returning are a combination of factors depend-
ing on professional and social status. As a rule, well-edu-
cated people managed to solve their socio-economic issues
but still indicate problems of psychological adaptation.
Less-educated people faced persistent socio-economic
problems including employment and accommodation.
Transit of migrants via Kazakhstan is done mainly by peo-
ple coming from the countries of Central Asia, Afghani-
stan, China, Pakistan, Sri Lanka and other countries of
South-East Asia to Russia and the West. As a rule, this
is an illegal fl ow that is accompanied by corruption and
criminal cases.
Establishment of migration networks will affect migra-
tion processes as well. Migration networks facilitate
migration, reduce expenses and related risks. Migration
networks are of great importance for the not able-bodied
population, providing a vital support system. The creation
of migration networks will increase the elderly’s migra-
tion dramatically.
Migrants’ adaptation and socialization opportunities
should be considered when studying migration in terms
of ageing. This issue is related to such migrants’ groups as
Oralmans, immigrants and in-country migrants. In terms
of adaptation and socialization, political, economic and
cultural aspects should also be kept in mind.
Political adaptation includes interest and direct involve-
ment of migrants in the political life of the country. As
the main migration stimulus for all groups is economic,
their interest in the political life of the country is unlikely
to be high. Thus, among migrants living in the capital,
Astana, just 50.7% are interested in the political life of
the country. Immigrants are less interested in political life
(28.3%), although this index is higher among in-country
migrants (59.6%) and Oralmans (63.8%)49. The high level
of interest in political life among Oralmans may be at-
47 Economic Activity of Kazakhstan Population. Statistical reference, 1991-
2003. - Almaty: RK Statistics Agency, 2003. In developed countries 3-4%
of all employed people are employed in agriculture (3.2% in Great Britain,
3.43% in the USA, and 4.39% in Canada).
48 Remuneration in Kazakhstan. Statistical reference, 1993-2002. Almaty:
RK Statistics Agency, 2004.
49 Migrants in the new capital of Kazakhstan. Almaty: International
Organization for Migration Kazakhstan, 2005. P. 69-70.
tributed to the patriotic feelings that made them return to
Kazakhstan.
Of course the economic adaptation of migrants is more
important in terms of ageing. Regular wages, job type and
wage size may serve as its indicators. As a rule Oralmans
are less well economically adapted. A large number of un-
employed, housewives and retirees can be found among
in the Oralman population and the welfare of most Oral-
mans after arriving in Kazakhstan gets worse. A consider-
able part (around 11%) of Oralmans refer to themselves as
low-income groups when comparing their situation to that
before their move to Kazakhstan50. Pension contributions
are important for economic adaptation but unfortunately
the majority of immigrants do not make such payments.
Cultural adaptation and integration of migrants varies
among different migrant groups. The main barriers to the
adaptation of in-country migrants are obstacles of eve-
ryday life, while for immigrants and Oralmans the main
problems involve language (not suffi cient speaking skills
in Kazakh and/or Russian) and cultural barriers.
CONCLUSIONS
The growth of the elderly population may burden the fi -
nancial system of the country. This may be explained in
part by the assumption that the elderly make minor con-
tributions to economic development. However, many eld-
erly do work and it is worth studying their participation
in public production and the specifi cs of the elderly, as
this may give a clearer picture of their contributions to
the economy. This information may be useful for plan-
ning economic development and development of pension
provision.
The economic activity rate of the rural elderly population
is higher than that of the urban elderly. The apparently
higher level of involvement of the rural elderly may be
due mainly to seasonal agriculture: in rural areas elderly
women and men have more opportunities to get involved
during certain periods in agriculture and on income-gen-
erating land plots, while the youth have migrated to urban
areas seeking work.
When studying different aspects of economic security of
the elderly’s income it may be reported that city residents
have more opportunities to get extra income in compari-
son with the rural population or town residents. However,
prices for goods and services in these areas are not the
same. Although the subsistence minimum has different
values in different areas, this value is closely connected
with prevailing consumer prices and accommodation
terms.
These are the economic aspects of employment of the
elderly:
• income additional to pension benefi ts that provides
increased income in rural or urban areas;
• fi nancial independence from the family and expan-
sion of consumer supply;
50 Migrants in the new capital of Kazakhstan. Almaty: International
Organization for Migration Kazakhstan, 2005. P. 89.
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• assistance to relatives and family (particular for
the rural elderly);
• shifting of elderly workers to less functionally im-
portant positions, taking into account their profes-
sional mobility.
These are the social aspects of the elderly’s employment:
• education level (particularly of the urban elderly)
that they built up throughout their lives and that al-
lows this group to take part in public production;
• good state of health for involvement in activities
that do not require physical pressure;
• accumulating scientifi c potential that allow em-
ployees, especially those involved in education
and scientifi c research, to be in demand in this
fi eld where the wage is not suffi cient to attract the
young generation;
• involvement of the elderly in such fi elds as educa-
tion, science and trade – work that does not require
physical stress, unlike much industrial production.
Involvement of the elderly (in most cases the elderly were
forced to fi nd a job) refl ects positive sides of this phenom-
enon. As mentioned earlier, this phenomenon is wide-
spread worldwide and therefore to some extent should be
deemed a usual phenomenon. However it is worth men-
tioning its negative and positives effects.
Firstly, in some countries with high poverty rates and
low-incomes, the elderly are forced to fi nd work due to
adverse economic conditions and an undeveloped govern-
ment role in social and economic provision for those in
old age.
Secondly, employment of the elderly depends on the situ-
ation on the labor market and labor resources, which are
in turn defi ned by the demographic development of the
country. A shortage of labor resources, particularly of the
able-bodied population, promotes involvement of the eld-
erly in production and a more continuous presence on the
labor market, for example by increasing the retirement
age.
Thirdly, employment of the elderly may be seen as a posi-
tive phenomenon, leading to less burden on the able-bod-
ied population. Also, with high economic development
rates and effi cient policy against poverty, retirees may
have incomes higher than the poverty threshold and their
involvement in production provides opportunities to gain
extra income to ensure more favorable living conditions
and psychological satisfaction from awareness of their
working activity.
Migration processes that are affected by economic and
ethnocultural conditions and government policy are con-
nected with ageing of the population. Over the last fi ve
years a combination of economic factors have become the
main migration drivers. This means the majority of mi-
grants are able-bodied. Migration of the elderly may be
affected by their desire to move to be with their relatives
and for better social pension guarantees.
Opportunities for the socio-political and economic adap-
tation of the elderly in Kazakhstan are fewer than for ad-
aptation of young migrants. The elderly are conduits for
traditional cultural elements and this may cause certain
confl icts.
NATIONAL HUMAN DEVELOPMENT REPORT – 2005
HEALTHY AGEING: HEALTHCARE AND SOCIAL SECURITY
CHAPTER 4
NATIONAL HUMAN DEVELOPMENT REPORT – 2005
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The population structure of Kazakhstan has undergone
considerable changes resulting from peculiarities of re-
production and migration processes during the transition
period. Ageing structure has affected all other demo-
graphic indicators, in particular mortality and fertility
rates.
Analysis of new trends in the age structure of Kazakhstan
indicates that the country is already at the threshold of
ageing. Considering these processes, a number of factors
linked with health issues, organization of healthcare and
social protection for older people in Kazakhstan become
of special interest.
Ageing brings to the fore issues of old age provision as
people become more economically, socially and psycho-
logically vulnerable and have signifi cantly weakened
internal and external protection against risks. One of
the main risk factors affecting ageing negatively is the
lack of legal and social protection of older people and
a deteriorating quality of life. Among the most impor-
tant indications of older people’s quality of life is their
physical health, as measured by morbidity, longevity and
mortality rates51.
4.1. HEALTH OF OLDER PEOPLE IN KAZAKHSTAN
4.1.1. MORBIDITY
A series of in-depth epidemiological surveys focusing on
the issue of health of the elderly have been conducted
over a number of years. The surveys covered different
periods and regions of Kazakhstan and investigated a
number of pathologies.
One complex medical check-up that determines, to a cer-
tain degree, the health status of the older population of
Kazakhstan is a large-scale inspection of the whole adult
population conducted as part of the Year of Health in
2002 and lasting up to today52.
In 2002, 611,285 people aged 60+ were examined (14%
of the total sample). The results revealed that 25% of all
those diagnosed were older people.
A sustainable growth in diagnosed pathology among
older people resulted from improved healthcare and fol-
low-up care. According to the results of 2004, 48% of
sick people out of all those examined were people aged
60+, of whom 91.6% were sick. The pathology level for
10,000 examined of this particular age group is 1.7 times
51 Shabalin V.N. Social basis for effective healthcare management for the
older people in Russia.
Isiginov К. Issues of healthy ageing provision for the elderly. Materials of
the IV annual International scientifi c and practical conference “Modern
aspects of public healthcare”, Almaty, 28-29 September, 2005 г., p.44-46.
52 Principal results of medical examination, dynamic survey and sanitation of
population of the republic of Kazakhstan aged 18 and older. Astana 2002.
Report for the government, 156 p.
Principal results of medical examination, dynamic survey and sanitation of
rural population of the Republic of Kazakhstan aged 18 and older. Astana
2004. Report for the government, 16 p.
Principal results of medical examination, dynamic survey and sanitation of
rural population of the Republic of Kazakhstan aged 18 and older. Astana
2004. Report for the government, 39 p.
higher in comparison with the average national fi gure
(9,157.5 0/0 and 5,419 0/0 respectively).
Blood diseases account for 3,952 0/0 prevailing in the
sickness pattern, while musculoskeletal system diseases
comprise 1,0410/0 exceeding the average national fi gure
by 2.6 and 2 times respectively and digestive apparatus
diseases (1018,50/0) by 1.4 times. Respiratory appara-
tus diseases comprised 804.7 0/0, eye and appendages of
eye diseases – 577.9 0/0.
Either the level of revealed pathology or its structure is a
result of the burden of diseases acquired in childhood or
at working age. It is signifi cant that sickness rates among
the elderly remain high and are caused by the limited
availability of professional medical services.
Unfortunately, Kazakhstan does not have offi cial statis-
tics of sickness registration of the elderly. Recently, da-
tabases have appeared registering the number of people
suffering from socially important diseases such as can-
cer, tuberculosis and diabetes. These diseases serve as a
basis for assessing the health status of older people.
We have analyzed a register of cancer patients for 2002-
2004. Over the period the number of malignant tumors
grew by 21.5% (from 89,129 to 113,596 cases), includ-
ing among people aged 60+ by 27.7% (from 35,424 to
49,009). In 2004 43.1% of those suffering from malig-
nant tumors were people aged 60 or more.
There was a high growth rate in the number of malignant
tumors in South Kazakhstan (37.8% in total and 46.2%
among those aged 60+), Almaty (31.8% and 36.1%), Ak-
tobe (28,6% and 36,6%), Zhambyl (27.9% and 33.5%),
Akmola (27.9% and 38.1%), and Kyzylorda oblasts
(27% and 30.9%). These fi gures should be broken down
by certain forms of malignant tumors on the one hand,
while on the other, these tendencies may be associated
with better detection and cancer registration in these ob-
lasts.
Nevertheless, Karagandy and East Kazakhstan oblasts
(12.9%) have the highest cancer prevalence (15% of the
national fi gure), both being industrial centers, and Al-
maty city, with 10.5% of the total, being a large mega-
lopolis.
The urban population suffers (2.7 times) more from
malignant tumors compared with the rural people. This
indicator is 3.2 times higher among people aged 60+.
Though, due to the fact that cancer clinics are based in
cities, the urban population has more access to high-
quality detection services. According to the National
Register of people diagnosed with tuberculosis, mor-
bidity levels among the urban population are 1.2 times
higher than in rural areas. In 2004-2005 there was an
increase in tuberculosis prevalence from 284,610 cases
to 311,650 cases, or by 8.7%. Among people aged 60+
these indicators equaled 14,932 and 15,295 cases (2.4%
more) (Figure 4.1). The most considerable increase over
the reviewed period was registered in Zhambyl oblast
(30.4% in total and 11.7% among people 60+) and Al-
maty (22.7% and 14.5%).
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Figure 4.1. Trends in the number of tuberculosis cas-es in Kazakhstan (as of 31.07.05 versus 2004), %.
Source: Demographic Yeabook Almaty, 2005. P. 154
Prevalence rates are highest in South Kazakhstan oblast
(10% of the national fi gure), East Kazakhstan oblast
(9.2%), Almaty oblast (8.3%), Zhambyl oblast (8%),
which is associated with higher population density in
these oblasts. In East Kazakhstan oblast this is caused by
high rates of respiratory diseases, which are among the
principal causes of tuberculosis.
The number of people suffering from active tubercu-
losis increased considerably. Over the reviewed period
this indicator grew by 5.7%. Among people aged 60+
the number of those diagnosed with active tuberculosis
increased by 4.8% from 5,221 to 5,487 cases). The high-
est growth rates among people aged 60+ are registered
in Almaty city (19.6% in total and 16.8% among peo-
ple aged 60+), Manghistau (12.2% and 13.7%), Aktobe
(7.4% and 10.6%), North Kazakhstan (7.7% and 9.3%)
and Atyrau oblast (4.6% and 8.9%).
Review of the register of people diagnosed with dia-
betes shows that in 2004 60.4% of all those registered
were aged 60 or more. Over 2002-2004 the number of
people suffering from diabetes grew by 16%, of which
11.6% were people aged 60+. The highest numbers of
people on the follow-up care list are in Manghistau ob-
last (35.4% in total and 23.8% among people aged 60+),
Kyzylorda oblast (24.6% and 26.4%), Almaty oblast
(24% and 15.4%) and South Kazakhstan oblast (22.4%
and 20.7%).
In urban areas diabetes prevalence is 3.7 times higher
than in rural areas, while among people aged 60+ it is
4.1 times higher.
Thus, the review demonstrates high morbidity rates among older people, which exceed the average na-tional fi gure by 1.7 times. The number of socially sig-
nifi cant diseases also grew markedly. Over the last three
years there has been a 17.7% increase in the number of
people suffering from malignant tumors, and an 11.6%
increase in diabetes rates. Over the last 18 months TB
prevalence has increased by 2.5%, and active TB preva-
lence by 4.8%.
Average annual growth in the proportion of people di-
agnosed with malignant tumors is 9%, diabetes, 2% and
active diabetes, 4%.
Meanwhile, despite these trends, healthcare and so-cial security provision remain unchanged, and the health status of older people may be further deterio-
rating. Estimations lead to forecast growth in cancer pathologies by 30%, tuberculosis by 20% and diabe-tes by 16% by 2010.
4.1.2 MORTALITY AND ITS CAUSES
Mortality rates are important indicators for assessing the
health status of the population. Although death is part
of the natural lifecycle it has social implications that
fall under two large groups: endogenous (caused by the
human organism’s inner development) and exogenous
(linked with environmental impact).
Comparison of mortality dynamics across countries
with similar development histories shows that besides
the inevitable negative effects of the transition period,
Kazakhstan’s high mortality rate is caused by the ear-
ly stages of ageing followed by mass migration during
the most diffi cult period in the history of the country.
Deaths of older parents of emigrants have contributed
to high death rates, and this is confi rmed by statistics on
separate ethnic groups. The ethnic breakdown of deaths
per 1,000 people in 2003 was as follows: 6.50 Kazakhs,
15.48 Russians, 23.87 Ukrainians, 6.03 Uzbeks, 10.9
Germans, 15.04 Tatars, 6.07 Uigurs, 22.24 Byelorus-
sians, 3.48 Turks.53
Over 2000-2004 the overall mortality ratio was 10.10/000.
According to the Statistics Agency of Kazakhstan the to-
tal number of deaths equaled 152,250 of which 57.4%
were people aged 60+, i.e. 87,376 deaths.
Mortality is affected by a number of social, economic
and biological factors. The most important biological
factors are connected with ageing. In this respect, the
highest death rates are among people aged 65+ and ur-
ban death rates are signifi cantly greater than rural. (See
Table 4.1).
Table 4.1 Mortality rate per 1,000 people by gender and age, 2003
Age TotalIncluding
TotalMale
TotalFemale
Urban Rural Urban Rural Urban Rural
Total
popula-
tion
10,41 11,79 8,82 12,15 14,26 9,56 8,81 9,62 7,68
60–64 29,52 31,35 28,88 44,72 50,07 37,80 18,71 19,03 18,32
65–69 40,90 41,83 39,46 59,90 64,56 53,49 27,64 27,19 28,39
70–74 60,17 60,96 58,84 84,86 68,60 79,28 45,63 45,87 45,19
75–79 84,12 85,29 82,03 111,31 114,45 106,28 72,25 73,29 70,28
80–84 125,58 126,46 124,07 153,36 156,58 148,22 116,34 116,77 115,61
85+ 242,35 248,04 234,02 265,75 262,81 270,54 236,41 244,08 225,47
In Kazakhstan the male mortality rate exceeds the fe-
male rate, starting at a young age. For example, at ages
15-19 the male mortality rate is twice as high and at
25-29 three times as high. This is mainly caused by ac-
cidents, but at older ages higher male mortality is due
primarily to cardio-vascular diseases. Data analysis in
the report suggests the existence of male over-mortality
in Kazakhstan. (see Annex, table 4.5)54.
Male over-mortality has biological and social causes.
Among factors adversely affecting male mortality are
working conditions of men employed in hazardous jobs
53 Demographic Yearbook, Almaty, 2005, p. 154
54 Demographic Yearbook of Statistics Agency of Kazakhstan, 2005.
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and risky behavior such as smoking, drinking and drug
abuse. Nationwide, both rural and urban male over-
mortality exceeds 1. The disparity is particularly great
among those of working age. At present, male over-
mortality tends to be increasing in more economically
developed countries. However, when the discrepancy in
years of life expectancy among different age groups be-
comes dangerous and results in loss of years that could
potentially be lived, the problem becomes urgent. Analy-
sis of mortality structure by cause is a challenging task.
Reasons for mortality are closely interrelated with labor
conditions, lifestyle, level of healthcare, and the gen-
eral level of social and economic development. In the
structure of Kazakhstan’s mortality, circulatory diseases
make up 67%, tumors 13.3%, respiratory diseases 5.7%
and digestive system diseases 3.3%. (Figure 4.1).
Figure 4.2. Causes of death of population aged 60+, 2004
Source: Committee for Quality of Medical services under the Ministry of Health
Thus, the current mortality rate is still high. This is caused, in addition to other factors, by ageing, i.e. an increase in the proportion of older people whose mor-tality rates are higher than among the general popula-tion.
4.2. HEALTHY AGEING AND ITS SOCIAL, ECONOMIC AND ENVIRONMENTAL DIMENSIONS IN KAZAKHSTAN
Research into ageing in the 21st century, a project devel-
oped by UNDP, considers ageing one of the top priorities.
Global life expectancy at birth is increasing. Therefore,
ensuring that additional years of life are healthy, active
and productive becomes of particular importance.
Also, healthy ageing is a focus of the European “Healthy
Cities” initiative. This is part of a WHO project bring-
ing together more than 600 cities and 30 national net-
works in both developed and developing countries. In
Kazakhstan “Healthy Cities” was launched in 2002. The
National Center for the Promotion of Healthy Lifestyles
administers the project in 10 cities of Kazakhstan.
An important characteristic of population age structure
is longevity, which is understood to be surviving to the
age of 90 or more. Longevity depends on 1) social and
economic factors like fi nancial welfare, lifestyles, qual-
ity of culture and healthcare, living standards and labor
conditions; 2) genetic background; 3) ecology. As of early
2004, 1.46 of each 100 individuals surviving to old age
were long-livers, including 1.27 in urban areas and 1.8 in
rural areas. There are more female long-livers than male.
4.2.1. SOCIAL DIMENSIONS
Social conditions of the elderly are determined, fi rst of
all, by their health status, environment and social wel-
fare.
Survey fi ndings55 show that 42% of people aged 60+ live
with a spouse, 22% live alone and 36% live either with
children or with grandchildren. Older people are mostly
concerned with their health problems (49%) and fi nan-
cial issues (43%). Surveys have indicated that 75% of in-
dividuals aged 60+ have chronic pathologies and 54.8%
have regular medical check-ups, although 47% are not
aware of their right to free medical services56.
The social support of family and friends is of special
importance in old age. Surveys show that at the age of
60-64, some 85% of respondents do not need social and
homecare assistance while by the age of 80 only 40-45%
can claim the same. Even those living with family men-
tion that their relatives are busy at work and therefore
unable to provide the required care for their older mem-
bers.
4.2.2. OLDER PEOPLE’S LIFESTYLES
Findings of a 1998 national survey into lifestyles of the
population showed that 22% of older people smoke, with
a further 37.2% using alcohol. Regionally, the North
(51.3%), East (43.5%) and South (42.3%) regions have
the highest rates of alcohol use57.
The scale of stressful situations is large, most taking
place within families (77.7%), with the North having the
highest indicator (47.1%).
Only 9% of older people do some type of sport regularly
and the level of older people’s awareness of disease pre-
vention remains low (41.2%). They receive information
from television (37%), medical workers (24.9%) and rel-
atives (14%). Some 44.5% of people aged 60+ say they
are ready to change their lifestyles in order to maintain
their health.
4.2. ECONOMIC DIMENSIONS
Economic factors play a signifi cant role in healthy age-
ing, for example by determining living standards and
healthcare expenditure. According to surveys conducted
in Kazakhstan in 2002, 64% of people aged 60+ apply
for medical care more than once a year. The key rea-
son behind this is ineffective treatment and unaffordable
medications (58.1%)58,59.
55 Abzalova R.A. New approaches to defi ning old age. Social aspects of
working with older clients by family doctors. Community-based healthcare
and its management. 33, 2004. p.33-37.
56 Survey on availability and quality of medical services. Astana-Almaty,
2002. Report for the government. 64 p.
57 Akanov А.А., Tulebayev К.А., Ayzhanov G.B., Zhakeshbayev N.А.
Dynamics of healthy lifestyles promotion in Kazakhstan, Almaty, 2002,
177 p.
58 Survey on availability and quality of medical services. Astana-Almaty,
2002. Report for the government. 64 p.
59 Shoranov М.Е., Kasymalieva R.А., Balabayev T.F., Elamanova S.H.
Comparative analyses of medical expenditure of different age groups
of Kazakhstan. Materials of the IV annual International Science and
Practical Conference “Modern Aspects of public health care” , Almaty,
28-29September, 2005, p.152-154.
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However, the 2005 State Program of Health Protection
Reform and Development for 2005-2010 includes provi-
sion of medication for socially signifi cant diseases for
free or at reduced prices.
4.2.4. ECOLOGICAL DIMENSION
Poor environmental conditions undermine the health of the
elderly. The most signifi cant factors are water and air pol-
lution, as well as desertifi cation. In many oblasts the popu-
lation has limited access to safe potable water. About 50
% of the population consumes drinking water that is not
in compliance with mineralization and hardness require-
ments. Neither does the quality of water comply with bio-
logical standards. The annual fall in the average national
indicator of water provision has reached 3-5%. Vast areas
of Kazakhstan are affected by nuclear polygons and space-
craft launches. The result of nuclear explosions carried out
at the Semipalatinsk Nuclear Testing Ground is that half a
million people have been irradiated and 2 million hectares
of farmland exposed to radioactive contamination60.
According to the Concept of Environmental Security
of Kazakhstan for 2004-2015 approved by Presidential
Decree #1241 of 3 December 2003, “Aralsk and Semi-
palatinsk regions are declared ecological disaster ar-
eas”, where natural eco-systems, fl ora and fauna have
deteriorated and an unfavorable environmental situation
signifi cantly harms the health status of the population.
Ecological disaster areas are dangerous for the internal
security of the country.
4.3. ACCESS TO HEALTHCARE
According to the Kazakhstan Statistics Agency, in 2004
there were 1042 hospitals, 18,200 polyclinics and 4,900
midwife stations serving all population groups, includ-
ing the elderly. There were 36.3 doctors and 77.6 para-
medical personnel per 10,000 people.61
4.3.1. OUTPATIENT SERVICES
A special survey was conducted in Almaty in 2004 to
identify how often older people access medical services.
The review of visits to 3 large polyclinics showed that
the total number of visits totaled 598,983, of which visits
by people aged 60+ equaled 166,729, i.e. 28%. Given
that people aged 60+ account for 13% of the local popu-
lation, it is clear that older people access medical institu-
tions twice as often as other groups.
Analysis of the morbidity prevalence registered in the
surveyed polyclinics shows that 65,164 out of 132,168
cases were people aged 60+, i.e. 49.3%.
4.3.2. HOSPITAL CARE FOR OLDER PEOPLE
According to the Committee for Quality of Medical
Services under the Ministry of Health, in 2002 1,552,886
60 Program of poverty reduction in Kazakhstan 2003-2005, approved by the
government of Kazakhstan, dated 26 March 2003, # 296.
61 Brief statistical annual book of Kazakhstan for 2005 /edited by К.S.
Abdiev/ – Almaty, 2005 – 216 p.
patients received hospital treatment, including 203,282
people aged 60+, i.e. 13%; in 2003 there were 1,906,470
patients, including 256,124 people aged 60+ (i.e. 13.4%);
in 2004 of 1,558,481 patients 190,615 (or 12.2%) were
older people. (Figure 4.8)
Figure 4.3. Hospitalized patients by age, Kazakhstan, 2002-2004.
Source: Committee for Quality of Medical services under the Ministry of Health
Consequently, 13% of hospital patients annually are
people aged 60+.
Figure 4.2 illustrates key causes of hospital treatment of
people aged 60+.
Figure 4.4. Causes of hospital treatment of older pa-tients, 2004
Source: Committee for Quality of Medical services under the Ministry of Health
As can be seen from the data above, one third of the
older population received hospital treatment for circu-
latory diseases, and a tenth for digestive or respiratory
system diseases.
Regarding age groups and different types of diseases,
older people access hospitals to treat blood system dis-
eases in 42.7% of cases, sensory organ diseases – 30.7%
and tumors – 28.4%.
A survey conducted in 2002 illustrated that one in three
respondents of older age was hospitalized because of
chronic disease. One third of these rated the quality of
hospital medical care as good.
Thus, review of healthcare provision and access reveals
that of all age groups people aged 60+ access outpatient
services twice as often as others. Some 50% of the popu-
lation registered in health centers are people aged 60+.
At the same time, access to hospital treatment because
of chronic diseases among the elderly is much lower
(annual average 13%) compared with other age groups
(children 28%, adult population 58%).
There therefore appears to be somewhat inadequate med-
ical provision for the older population who have rather
limited access to high quality healthcare. However, the
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State Program of Healthcare Reform and Development
for 2005-2010 provides for a shift in focus from hospital
treatment to outpatient services, better disease preven-
tion and promotion of healthy lifestyles among all cat-
egories of the population.
4.4. SPECIAL MEDICAL CARE FOR OLDER PEOPLE IN KAZAKHSTAN
In the Soviet Union issues and research into gerontol-
ogy and geriatrics were coordinated by the Scientifi c
and Experimental Institute of Gerontology in Kiev. The
collapse of the Soviet Union led to a complete stop of
all the systematic research on gerontology and geriatrics
in most CIS countries, including Kazakhstan. Nowadays
there is neither a special system of gerontology assist-
ance in Kazakhstan, nor any research institutions/depart-
ments or training for gerontologists. However, the cur-
rent context indicates a need to create state gerontology
services. Planning of scientifi c research should embrace
the study of pathogenic mechanisms of premature age-
ing and the main ailments of old age, as well as elabora-
tion of means and methods to detect, prevent and treat
them. Scientifi cally-grounded standards of medical and
social services for the elderly are also necessary.
Almaty has the most developed palliative care services,
with its Republican Hospital for disabled veterans.
In 1999 the Almaty City hospice with a capacity of 70
beds was established and by 2004 had 1,548 patients.
Patients were mainly (65.5%) people aged 60+. Among
treated cases were blood system disorders (81.8%), and
tumors (17%). In 2004 171 people died in hospices, of
which 92.7% deaths were caused by malignant tumors
and 7.6% by circulatory diseases.
A nursing center with a capacity of 100 beds was set up
in 1992. In 2004 900 patients underwent treatment fol-
lowing strokes, ischemic heart disease, encephalopathy,
etc. The Almaty City Development Plan also includes
the construction of a second nursing center with a capac-
ity of 200 beds.
Hospices also operate in Karaganda, Semipalatinsk, Ust-
Kamenogorsk and Pavlodar.
Currently, the State Program of Healthcare Reform and
Development for 2005-2010 provides for “improvement
of rehabilitation and palliative care, including establish-
ment of hospices and a nursing center” (p.47 of the Plan
of Action for implementation the State Program, Gov-
ernment Decree # 1050 of 13.10.04).
4.5. OLDER PEOPLE AND DISABILITY
An urgent problem of contemporary society that was the
focus of attention at the Second UN World Assembly on
Ageing in Madrid on 2 April 2002 was disability among
older people.
According to WHO statistics disabled people account
for about 10% of the world population, most of whom
are older people. The number of disabled people varies
from country to country. In China, for example, there
are 60 million disabled people, which is about 5% of the
population. In Russia 6% of the population are offi cially
registered as disabled, while in the USA 19% of the pop-
ulation are registered disabled.
According to the RK Ministry of Labor and Social Pro-
tection, as of 1 January 2005 Kazakhstan had 413,600
disabled people, which is 3% of the population.
Insert 4.1.International experience in providing medical-social help to the elderly.“The model of geriatric help” were called department of integrated home care. Effective prophylactic medicine delivered to homes
can reduce considerably the need for hospitalization and institutionalization among the elderly.
In USA professional home help services for the elderly are provided by certifi ed home help agencies, which can be private or
non-profi t. Financing of their activities comes from two federal programs – Medicare and Medicaid. Agencies carry out medical
and rehabilitation programs, including qualifi ed care, physiotherapy, speech and work-therapy, consultations with social workers,
psychologists, dieticians, etc. Home based hospitals are also organized.
One of the forms of long-term medical help are houses of sisterly care. In USA there are more than 18,000 of these houses, each
with 80 places on average. About 75% of these are private, commercial, about 15% are private non-profi t fi nanced by ethnic, reli-
gious and charity organizations. The non-commercial sector provides more than half (56%) of the medical services at local level.
Volunteers play a key role in the medical and social activities of home help agencies for the elderly on a community level.
The Japanese government, among all social welfare issues, pays most attention to creation of a good standard of living for the elderly. This is connected to the number of this constantly growing category in Japan, which by 2025 will reach 5.2 million in
comparison to 2 million in 1993.
In 1986 a law to stabilize the hiring people of middle-aged people was ratifi ed. As a result, elderly people in Japan not only earn
money, but also remain within their system of familiar social connections. Since they often need to change their professions, spe-
cial re-training centers are being created.
In 1989 the Japanese government adopted “the golden plan” – a 10-year strategy to improve medical services and increase the
well-being of elderly people. This aims to create a system of services for people of this age at home e.g. special stations providing
medical help for the elderly at home were created and building home-stays with a full range of services.
This plan, enhanced and amended in 1994 is called “the new golden plan” and provides an increasing number of services for the
elderly. In particular, by 1999 the number of people benefi ting from these services at home was increased to 170,000, in compari-
son to 31,500 in 1989. A research center focusing on development of a complex system of support provision for the elderly was
also created.
In accordance with the government strategy of turning Japan into a “superstate of living standards”, on the basis of its achieve-
ments by 2025 it is planned to increase expenditure on social welfare up to 28.5–32.5% of national income.
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Over the last 13 years about 51,500 people have been
diagnosed with disability annually. Between 1992 and
2004 the number of people recognized as disabled among
the adult population reduced almost twofold.
Analysis of the number of registered disabled people in
Kazakhstan illustrates a downward trend of almost 30%
over the period 1999-2004. In addition, there is an ir-
regular downward trend in primary disability among the
working age and older populations. Primary disability
detection rates are falling at a greater rate in the retire-
ment age group: from 8,100 to 4,100 cases over the peri-
od (Figure 4.3). In 1999 retirees accounted for 16.3% of
people diagnosed with primary disability, with the other
83.7% being people of working age. By 2004 retirees
accounted for only one tenth of those diagnosed with
primary disability. This trend is not caused by a reduc-
tion in the proportion of disabled older people, but by
a reduction in the number of retirees referred by health
institutions to register their disability: according to the
government decree of 24 August 2000 “any age-related
changes are not suffi cient to diagnose a disability”.
Figure 4.5. Primary disability by age
Source: RK Statistics Agency
Following the adoption of Resolution of the Statistics
Agency of 20 October 2004, a new detailed statistical
reporting form #7 “Report of medical and social as-
sessment departments under the Ministry of Labor and
Social Protection” was introduced. This allowed review
of the disability status of older people and retirees, i.e.
women aged 58+ and men aged 63+.
In 2004, 42,825 people were ‘diagnosed’ with disabili-
ties. Out of 35,808 registered with a primary disability,
11% (4,071 people) were retirees. There were more ur-
ban versus rural people among those registered with a
primary disability. At the same time, registration of a
primary disability for older people varied depending
on place of residence. Among people diagnosed with
a primary disability, 73% were urban residents (2,980
people) while 27% (1,091 people) lived in rural areas.
This is associated with the fact that qualifi ed medical and
social services are more readily available in urban areas.
Rural and urban ratios of people diagnosed with disabil-
ity at retirement versus working age also differ. In urban
areas retirees account for 14% of disabled people, while
a further 86% are of the working age population. In rural
areas older people make up only 8% of those diagnosed
with a primary disability.
Not all disabled older people have permanent registra-
tion of their disability. One in four of such people, of
which 711 and 305 are urban and rural residents respec-
tively, will have to be assessed again after a certain peri-
od. This is one of the characteristics of the new approach
in accordance with regulatory and legal documents on
medical assessment of retired people. Previously, retire-
ment age was the criterion for identifying a disability
category, without need for re-assessment.
In older age women are more vulnerable in terms of dis-
ability, due to gender disparities in life expectancy and
resistance to disease, as well as lifelong gender inequal-
ity62. The gender distribution of people registered with
a primary disability, including older people, by place of
residence and employment status is illustrated in Fig-
ure 4.4
Among all registered disabled, the male to female ra-
tio is 3 to 2 (58.7% versus 41.3%). Men prevail even in
older age and also among disabled workers, especially
among the rural population, where men make up 93.8%,
whereas in urban areas men account for 66.2% of older
people with a disability. Gender imbalance becomes less
evident in the group of unemployed people diagnosed
with a disability, as well as among retired people, where
men and women are equal in number.
Analysis of the breakdown of people diagnosed with
primary disability by disability category reveals con-
siderable variation between working and retired people.
62 Older people and disability. Report of the Commission of Social
Development of the Second World Assembly on Ageing. Madrid, 2 April
2002.
Figure 4.4. Percentages of men and women with primary disability, 2004
Source: RK Statistics Agency
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Older people tend to be diagnosed with the most severe
primary disabilities, accounting for about 95% (sum of
disability categories I and II), while disabilities of people
of working age account for 68% of severity. There are
more rural than urban people diagnosed with the most
severe disabilities (category 1), at 34% and 30% respec-
tively.
Ecological factors lying behind primary disabilities are
becoming a more obvious and urgent problem. This is
relevant to the general population and older people in
particular. Disabilities caused by ecological disasters
following nuclear testing at Semipalatinsk and shrinking
of the Aral Sea are the second and third most signifi cant
causes of disability, which clearly indicates that such en-
vironmental factors have serious human health impacts.
This also results in higher disability detection rates in
Kazakhstan, especially for older people.
The distribution of people diagnosed with primary dis-
ability according to the International Disorder Clas-
sifi cation illustrates that the main causes of adult dis-
ability, regardless of place of residence, are circulatory
disorders. Cardiovascular system disorders are second in
importance, with injuries third. Some specifi c features
characterize older people in this context. According to
2004 statistics, retired people in either rural or urban
locations mostly suffer from malignant tumors, cardio-
vascular disorders, eye and eye appendage diseases and
endocrine system disorders. See Figure 4.5
The international community is becoming increasingly
convinced that full social participation is of the highest
importance in today’s world. This is also justifi ed by new
indicators of social development assessing the social
maturity of a nation. One of these is the human develop-
ment index embracing three main human development
components, which are longevity, education and living
standards, according to the Concept of Human Develop-
ment of the Nobel Laureate Amartya Sen63. Although in
the context of human development the disability issue
was not addressed, these three indicators show that disa-
bled people are the most vulnerable and disadvantaged
group. This, according to the author, predetermines the
need for further research in this area. It may also prove
reasonable to include disability indices in the list of hu-
man development indices as an indicator most negatively
infl uencing the combined index, i.e. human development
index. Social vulnerability of the disabled as a specifi c
population segment could be traced in all social indica-
tors. Disability is one of the determining mechanisms of
social differentiation of mortality. Numerous studies of
social disparities in mortality illustrate higher mortality
rates among vulnerable groups, especially at pre-retire-
ment age. According to Komarov U.M. and his co-au-
thors, life expectancy of the able-bodied and disabled
population is different twofold: 72.3 versus 31.6 years
respectively64. Mortality research also illustrates a “pro-
tective” function of good education and marital status.
From the point of view of marital status, most disabled
people are single, divorced or never married. Their edu-
cational level is also comparatively low.
According to the “Poverty Reduction Program in the Re-
public of Kazakhstan for 2003-2005” approved by gov-
ernment decree of 26 March 2006, in Kazakhstan poor
people are mostly represented by socially vulnerable
people, including lonely older people, people with dis-
abilities and others. Lonely older people have to address
63 Sen A. “Development as Capability Expansion.” In: Journal of
Development Planning. 1989. No.19
64 Komarov Yu.М., Ermakov S.P., Ivanova А.Е. and others. Life expectancy
of Russian people adjusted by disability: trends, regional dimensions, main
causes of decline. М., 1997. 82 p.
Figure 4.7. Older people diagnosed with primary disability by main cause of disability
Source: RK Statistics Agency
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increasing utility costs, medical and other services. Old-
er people are at a greater risk of poverty, which is caused
by their limited opportunities. In the context of limited
employment opportunities, the issue of employment of
disabled people becomes of the greatest urgency. Pen-
sions and disability benefi ts are always at a minimum,
by default.
Disabled older people make up the greater half of the to-
tal disabled sector and are the most disadvantaged group
in Kazakhstan by all social indicators, including basic
indicators of human development. Every third older
individual diagnosed with a primary disability in 2004
usually has the most severe disability (category one) and
is in constant need of care.
Socially signifi cant disorders are the main cause of dis-
ability for the elderly. According to the register of peo-
ple with primary disability, in 2004 there were four main
types of causes of disability in old age: malignant tumors,
cardiovascular disorders, eye diseases and diabetes.
The government should better address the problems
faced by older people, especially disabled older people,
as they are clearly the most disadvantaged group.
4.6. INTEGRATED MEDICAL AND SOCIAL SERVICES
The legislative framework for medical and social serv-
ices consists of Laws On Pension Provision in the Re-
public of Kazakhstan of 20 June 1997, On State Social
Disability Benefi ts for the loss of bread-winner and for
age standards of 16 June 1997, On Special State Ben-
efi ts in the Republic of Kazakhstan of 5 April 1999, On
Amendments to several legal acts of the Republic of
Kazakhstan on social assistance to Second World War
veterans, disabled people, benefi t recipients for the loss
of bread-winner, of 31 December 2004.
The transition to a market economy has initiated changes
in the system of social security and determined a shift
from a completely unitary system of social protection to
a mixed one. The Concept of social security system of
the Republic of Kazakhstan approved by the government
on 27 June 2001 offers a model system of social protec-
tion, including elements of both solidarity and targeted
systems of mandatory and voluntary insurance.
On 25 April 2003 the Law on Mandatory Social Insur-
ance was adopted. Its article 21, p.5 states that “as soon
as an individual reaches the age that entitles him to pen-
sion benefi ts, social compensations for loss of capabil-
ity discontinue”. The law became effective on 1 January
2005.
The Law On Mandatory Insurance of Civil Liability of
Employer Against Disablement of Employee While On
Duty was adopted on 7 February 2005 and has been in
force since 1 July 2005.
Table 4.2 demonstrates some consequences of these laws
after they were adopted in the course of reforms of the
social security system in Kazakhstan.
Phase one: allocation of benefi ts from the budget for all
citizens equally (depending on social risks).
Phase two: provision of all formal sector employees with
additional benefi ts from a mandatory civil liability system
until retirement age or discontinuance of basis for insur-
ance payments.
Phase three: in case of disablement or loss of breadwin-
ner caused by occupational disease, additional social aid
is provided until the end of the basis for insurance pay-
ments.
The legislative framework for the existing medical and
social protection system is made up of laws On Public
Health Protection in Kazakhstan of 19 May 1997, On
Public Healthcare System of 4 June 2003, On Social Pro-
tection of Disabled People for 2002-2005, State Program
of Healthcare Reform and Development in the Republic
of Kazakhstan of 13 September 2004.
Kazakhstani legislation defi nes integrated medical and so-
cial care as one of the types of pubic medical services (p.1
article 15 of the law on Public Health Protection in Kaza-
Table 4.2
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khstan of 19 May 1997). According to page 5 article 15 of
the law, medical and social care embraces a set of steps on
the creation and development of a network of small-scale
social organizations, benefi t provision, providing employ-
ers with medical recommendations regarding their staff
and organization of a rational regime of labor and nutri-
tion. Medical and social assistance are provided for people
suffering from socially signifi cant diseases and diseases
dangerous for society, with free or reduced price medi-
cal treatment. Socially signifi cant diseases are pathologies
common for the elderly such as cancers, mental disorders,
diabetes, cardiac arrest, the post-surgery state of vital or-
gans, tuberculosis, etc.
Orthopedic assistance is an important area of medical and
social assistance and the rehabilitation of older and disa-
bled people. Today orthopedic support is provided in ac-
cordance with the “Regulations of provision of orthopedic
and technical compensatory aid for disabled people” ap-
proved by government decree of 20 July 2005. All disa-
bled people, including the elderly should be provided with
prosthetic and orthopedic devices for free or at reduced
price. There are three orthopedic centers in Kazakhstan,
located in Almaty, Petropavlovsk and Semipalatinsk, all
fi nanced from the national budget. Some 30,000 people
are registered in these orthopedic centers, as people re-
quiring prosthetic and orthopedic devices. Over 16,000
disabled people received orthopedic aid in 2004, versus
over 15,000, including older people, in 2003.
Measures are also being taken to improve provision of au-
dio and optical devices for people with hearing and vision
disorders. There are 94,000 people suffering from hearing
disorders who need audio devices and audio aid. There are
a further 18,000 people with visual disorders who need
optical devices.
Sanatorium-and-spa treatment is an integral part of medi-
cal, social and rehabilitation aid for older and disabled
people in Kazakhstan. Some 51.6 million tenge in 2003,
70.8 million in 2004, increasing to 125.4 million in 2005
was provided from the state budget for sanatorium-and-
spa treatment for veterans and disabled people. In 2003
2,000 and in 2004 2,500 veterans and disabled people
enjoyed sanatorium-and-spa treatment. The republican
boarding house for war and labor veterans “Ardager”,
under the Ministry of Labor and Social Protection, is situ-
ated in Almaty.
The government decree of 20 July 2005 approves a “List
of medical indications suffi cient for provision of disabled
people with walking aids”. Local budgets are able to pro-
vide disabled and older people with special walking de-
vices. In 2002, 910 items were purchased, increasing to
950 in 2003, and 1,798 wheelchairs of various specifi ca-
tions in 2004.
There are 79 residential internats serving as medical and
social institutions in Kazakhstan, 35 of them nursing
houses for the elderly and disabled, housing more than
18,000 people on full state provision. There are also vari-
ous private boarding houses. According to a decision of
the mayor of Almaty City of 1 April 2002 a social board-
ing house for single retirees, disabled people, and lonely
older couples was opened in Almaty.
One important type of social service is home care, which
is provided by 334 social service departments and 6 Re-
gional Centers, taking care of more than 35,000 single
older people. USAID (through the American International
Health Alliance, AIHA) is currently implementing a com-
munity-based primary healthcare project in sites across
Kazakhstan. Within the framework of this project the
Family Group Practice “Demeu” was set up in Astana in
2000. “Demeu” is the fi rst center in CIS to integrate medi-
cal and social assistance, including assistance to vulner-
able population groups and the elderly. One of the per-
formance indicators of this project is a 31% reduction in
emergency calls over a period of three years. Improved
quality of medical services is seen in better health indi-
cators of the serviced population and illustrates the need
to replicate this model nationwide. Consequently, as of
2004, similar projects have been established in Semipal-
atinsk and Uralsk, while another two are planned to be
based in Kokshetau and Almaty.
The Ministry of Labor and Social Security of Kazakhstan
has elaborated a draft of the “Disabled people rehabilita-
tion program for 2006-2008”, which includes reorganiza-
tion of the network of social services for older and disa-
bled people, structural and transitional reform of these
organizations, elaboration of state standards of social
services, creation of a network of small-capacity internats
and boarding houses, construction and reconstruction of
existing boarding houses in Almaty and Astana and other
oblasts, the building of a hospice in Kostanai oblast, etc.
Laws “On social protection of victims of the Aral disas-ter” of 30 June 1992, “Оn social protection of victims of nuclear tests at Semipalatinsk nuclear testing ground” of
18 December 1992 provide the legislative framework for
the provision of social and environmental protection of
the population.
Various NGOs function effectively in many regions of
Kazakhstan, assisting medical workers in providing medi-
cal and social care to vulnerable groups. The following
public unions of disabled people are among those active in
Kazakhstan: Kazakh Society of people with hearing disa-
bilities; Kazakh association of people with vision disabili-
ties; Association of Afghanistan war veterans; Voluntary
association of disabled people of Kazakhstan; Association
of disabled women “Shyrak”; “Namys” NGO of disabled
people with higher education; Asian society for disabled
people’s rights “Zhan”. Recently, the public fund “Em-
ployment assistance and social protection of the poor”
was created. One of its main projects is called “Zabota”65
aiming to support retired and disabled people in need and
other vulnerable population groups.
However, it should be noted that many legal acts are pure-
ly declarative and do not have suffi cient fi nancial backup
to allow effective and comprehensive implementation.
In conclusion, two agencies are the main actors in pro-
viding medical and social aid for disabled and older peo-
ple. These are the Ministry of Health and the Ministry of
Labor and Social Protection, which integrate medical and
social care for older and disabled people. Among other
actors are NGOs and voluntary organizations.
65 Zabota project’s web-site www.zabota.kz
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CONCLUSIONS
Analysis of the above data indicates profound problems
in the health status of Kazakhstan’s older population,
which is the main reason behind disabilities and mortality.
Circulatory diseases, musculoskeletal system disorders,
digestive disorders, respiratory system diseases, eye and
eye appendage diseases top the breakdown of chronic
pathologies.
High morbidity rates among the population aged 60+ de-
termine their need to access outpatient facilities twice as
often as the general population. Regardless of the annual
growth of the morbidity ratio, hospital services for those
aged over 60 remain unchanged and do not meet older
people’s need for medical care.
There are no specifi c gerontology services provided in
Kazakhstan and no training is available for gerontologists.
Also, there are no offi cial statistics on morbidity rates
among older people and their access to medical facilities.
Older disabled people comprise the majority of disabled
people and are the most vulnerable people by all social in-
dicators, including basic human development indicators.
The problem of ageing, affecting all forms of state and
society performance at this stage of economic and social
reform, presents a number of serious challenges for Ka-
zakhstan as it seeks to achieve sustainable human devel-
opment for all citizens. The lack of gerontology services,
high morbidity and mortality rates among the elderly, le-
gal restrictions on social guarantees in old age - such as
diffi culties identifying categories of disability or the ex-
tent of overall incapacity - prove the timeliness of raising
the issue of ageing in Kazakhstan and the search for better
solutions, one of which is the strategy of healthy ageing.
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NATIONAL HUMAN DEVELOPMENT REPORT – 2005
EDUCATION FOR ALL GENERATIONS
CHAPTER 5
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5.1 AGEING IN THE CONTEXT OF EDUCATION IN KAZAKHSTAN
The process of ageing of the population of Kazakhstan
as an issue for research is also new from the educational
point of view, since their correlation has not been fully
researched neither by pedagogical nor any other social
sciences. The magnitude of considering ageing within
the context of education is confi rmed by data analysis of
Kazakhstan’s national 1999 census.66
In this chapter, data on the population in the 65-69 age
range was used to analyze the structure of the population
by age and level of education. The majority of the popu-
lation of this age has only received primary education
(40.6%). Some 19.3% of the elderly have basic general
education and 14.8% have completed general secondary
education. Also, 11.3% of people aged 65 have second-
ary vocational education, while people with higher vo-
cational education make up only 8.5%. Therefore, in the
current economic situation, if they wish to continue to
work, the majority of people aged 65-69 are vulnerable
in terms of amount of pension they receive, because of
inadequate levels of education. This situation is especial-
ly pronounced in rural areas. Hence, the proportion of
urban elderly with higher vocational education is higher,
at 10.9% than the 4.6% in rural areas. In villages, 49.2%
of the elderly population has only primary education,
whereas in the cities the fi gure is 35.4%.67
The importance of higher education as a factor contribut-
ing to employment is demonstrated by the breakdown of
employed population by level of education and age. To
illustrate this, data related to older people ages 65-72 has
been analyzed indicating that, indeed, the bulk of em-
ployed people of this age group have higher professional
education (33.5%), primary (18.9%) and vocational edu-
cation. In urban areas there are more employed people
aged 65-72 with higher education (43.0%), while in rural
areas with primary education (32.3%)68.
The same tendency occurs in fi gures of age and em-
ployment ratio to levels of education, taking into ac-
count gender differences. There are more men aged 65-
69 (11.0%), with higher education, than women of the
same age (6.8%). In general, women of this age group
are disadvantaged compared to men at all levels of edu-
cation, except primary. There are more women with pri-
mary education (42.2%) than men (38.3%). Therefore,
elderly women are more vulnerable than men, and this
is refl ected in employment fi gures. There are more em-
ployed men in urban and rural areas. At the same time,
the employed population of both genders with higher
vocational education prevails in urban areas, at 47.1%
and 36.7% respectively. On the other hand, in rural areas
the number of employed people includes - of both gen-
ders - mainly those with primary education (28.8% men,
39.6% women)69.
66 Education of the Republic of Kazakhstan / Edited by А.А.Smailov.
– Almaty: Statistics Agency, 2002.
67 Education of the Republic of Kazakhstan / Edited by А.А.Smailov.
– Almaty: Statistics Agency, 2002 pp 8-12.
68 Education of the Republic of Kazakhstan / Edited by А.А.Smailov.
– Almaty: Statistics Agency, 2002 p. 23.
69 Education of the Republic of Kazakhstan / Edited by А.А.Smailov.
– Almaty: Statistics Agency, 2002. pp 24-25.
This data indicates the need to consider education as one of
the main factors in improving the quality of elderly people’s
lives. The importance of education gained throughout the
life of every elderly person and the importance of educa-
tion after gaining offi cial status of a pensioner, should both
be emphasized. In the latter case the problem of education
might take various forms: demand for additional educa-
tion from elderly people in order to broaden their skills and
knowledge; demand for the life experience and professional
qualities of elderly people, as a result of education through-
out their lives, by a system of education, society, family and
in order to meet mutually benefi cial needs. In any case, the
question of education in the context of population ageing is
far wider than simple provision of additional educational
services for elderly people according to their requests.
To what extent can education, as a system and as a proc-
ess, react positively to the ageing process in Kazakhstan?
What is the meaning of education in terms of value and
results in the lives of the elderly? What is the role of edu-
cation in involving the elderly in active social life and in
prolonging their fruitful labor activity? The search for
answers to these questions indicates the importance of
education for elderly people, the availability of educa-
tion and demand for education from the elderly.
5.2 IMPORTANCE OF EDUCATION FOR OLDER PEOPLE
It is worthwhile to begin the examination of the edu-
cation problem in the context of population ageing in
Kazakhstan with a question: to what extent is education
Insert 5.1.THE ELDERLY: VITALLY IMPORTANT RESOURCESJames Shabel – Vice-president of the Corporation for Na-
tional Services, Washington D.C.
In the last four decades the number of USA residents over
65 years old has doubled, and it is expected that by 2030 the
number will double once more. Present-day pensioners see
that after retirement they have time, energy and willingness
to dedicate themselves to voluntary activities, which they
had so little time for while they were working. They enter
organizations such as Elderly National Corps, which covers
more than half a million citizens of an older age.
The Corps that is a part of the Corporation for National
Services has 24,000 “adopted” grandmothers and grandfa-
thers who spend 20 hours a week in prisons, juvenile houses,
classrooms, shelters for the homeless and other places help-
ing children who became victims of domestic violence and
negligence from parents and taking care of mistreated babies
and disabled children. About 13,000 “elderly helpers” help
other lonely elderly people. Other elderly volunteers work
with students, build houses, patrol the neighborhoods and
deliver food to those who are bedridden…
For example, 5 demonstration projects under title of “Corps
of the Wise” conducted by the Corporation for National Serv-
ices encourage elderly citizens not only to become coaches
in schools, but also participate in pedagogical work with stu-
dents after classes, organize parents for creation of a “Parent
– Teacher – Student” association and participate in work of
local schools in a new way….
Using the potential of 50 million of elderly people can give a
lot to building a better society for all Americans.
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necessary for the older generation? This question is con-
nected to the importance of education in the life of an
individual in his/her middle age, both during his/her ac-
tive working life and after retirement.
The importance of education for those aged 65+ is ob-
vious, especially since not all of them are suffi ciently
protected from social needs at this age. Thus, according
to data of the Statistical Agency, in 2001, out of 10.4% of
unemployed 2.6% consisted of people aged 65-69. In the
past four years this number is likely to have increased
due to the 50% of the unemployed who were aged 60-64
in 2001. At the same time, there are more unemployed
men of these ages than women, both in cities and vil-
lages.
Unemployment, both as a negative stage in the life of
an individual and as a social phenomenon, to a certain
extent depends on the education level of the unemployed
population. Thus, analysis of the unemployed popula-
tion by level of education, shows that people with higher
education make up the smallest proportion of the unem-
ployed. According to the RK Statistical Agency, in 2001,
among the population with higher education, only 6.1%
were unemployed. In the population as a whole, those
with only general primary or secondary education are
most likely to be unemployed. This tendency is also ob-
served when examining the unemployment problem on
the basis of gender and place of residence.70
The importance of education for the elderly is confi rmed
by data on economic activities of the population. The
activities of an individual are aimed towards inclusion in
the category of paid wage laborers or the self-employed.
A category of employers taken for data analysis is a
member of a production cooperative or unpaid family
worker, and is economically more profi table and pres-
tigious than a wage laborer. Thus, analysis of data on
employment and education status for 2001 shows that
employers, as one of the kinds of self-employed work-
ers, are usually people with higher and unfi nished higher
education (39.9%). This is particularly pronounced in
urban areas (48.7%). However, in rural areas the picture
is slightly different. In villages employers with primary,
basic, secondary general education (41.4%) prevail over
employers with higher and unfi nished higher education
(28.7%), as well as employers with secondary voca-
tional education (29.8%). In rural areas in general, the
economically active are people with fi nished or unfi n-
ished secondary general education. They tend to occupy
themselves with independent work on an individual ba-
sis (79.2%), personal smallholdings (80.8%) in compari-
son with workers of other levels of education within the
frameworks of each category.71
This phenomenon is connected to rural lifestyles
where economically profi table activities are those re-
lated to farming, where physical strength and specifi c
skills are more important than knowledge of specialized
professional fi elds. However, it is worth noting that the
quality of all kinds of individual work and economic
70 Education of the Republic of Kazakhstan / Edited by А.А.Smailov.
– Almaty: Statistics Agency, 2002, p. 33
71 Education of the Republic of Kazakhstan / Edited by А.А.Smailov.
– Almaty: Statistics Agency, 2002, pp.31-32
profi t would be higher if economically active villagers
adopted new technologies and methods of work that
would allow not only producing for themselves, but also
improving society’s quality of life.
Thus, any person aged 65 or more has the right to con-
tinue both an economically active and socially benefi cial
life, after becoming a pensioner. However, insuffi cient
adaptability of the elderly to the market system, as well
as to forming new relationships in society create diffi -
culties in mobilization of their potential for expressing
themselves in various areas of social life, both as satis-
faction of personal needs in spiritual development and
as organization of new kinds of activities that benefi t
family and society. In this case elderly people need to
supplement their education, to gain new knowledge and
skills regardless of their level of education. Consequent-
ly, the question arising is: “How important is it to create
conditions for educating the elderly if there are so few
of them?”
The necessity to provide the elderly people with condi-
tions for realization of their rights for education is proved
by the Statistical Agency on the following parameters:
calculations of population’s life expectancies; dynam-
ics of the number of elderly people aged 65 or more in
the overall population; data on decreases in population
mortality.
Analysis of life expectancy for 2005, provided by the
Statistical Agency, shows that the expected remaining
lifetime of men at the age of 65 is 10.73 years, and for
women 14.72 years. At the time it is worth consider-
ing data on the numbers of men reaching the age of 75
(22,764 men), women reaching the age of 75 (51,856
women) and the age of 80 (36,246 women). Correla-
tion of these numbers shows that of currently living men
aged 65, only 4.5% will reach the age of 75 and among
women of this age, just 4.7% will reach the age of 75,
with 3.2% reaching the age of 80. These data prove the
possible growth of the elderly, whose majority of eco-
nomic activity during old age is observed between 65
and 75 years. This conclusion on the possible growth of
the older population is confi rmed by actual fi gures and
forecasts of future population numbers by age.
The next argument, regarding the necessity of providing
the elderly with conditions for realization of their rights
for education, is data on decreases in mortality. Thus,
in 2004-2005 a decrease of mortality was observed at
an annual rate of 1%. It is presumed that this positive
tendency will continue. According to forecasts of Y. K.
Shokamanova, possible decreases in mortality in 2005-
2006 will equal 2.0% in men and 1.5% in women.
Thus, increases in the number of the middle aged, their
social position and level of education prove the impor-
tance of concentrating society’s attention on them. This
attention should focus on support of the elderly in terms
of adaptation to new ways of life and prolongation of
their economic and socially benefi cial activities.
As a result the elderly are likely to need to gain new
skills of an applied character. It is possible that the eld-
erly do not realize this necessity, which is revealed in
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their apparent lack of motivation to use supplementary
educational services. However, society must initiate the
process of broadening the functional possibilities of the
elderly and create conditions to satisfy their need for
supplementary education in order to gain important life
skills. This function must be carried out by area of edu-
cation through formal and informal means.
5.3 ACCESS OF OLDER PEOPLE TO EDUCATION
Undoubtedly, involvement of elderly people in an ac-
tive social life and in work activities depends on level
of activity of the elderly themselves, on their willingness
to react to new situations through gaining new practical
skills. However, sometimes the activity and fl exibility of
an elderly person is not enough. Traditionally, our soci-
ety has seen the elderly as a non-labor resource. This is
important both to the individual and to the society as a
whole. As the result, society’s responsibility for creation
of conditions to provide the elderly with moral support
becomes topical. Education has both formal and infor-
mal elements, which are meant to provide educational
services to people of all ages including the older popula-
tion, according to their educational abilities and desires.
Considering the real level of education, every elderly
person has the right to use the services of formal educa-
tion, from evening schools to after-college training. They
are also entitled to use systems of informal education,
provided by centers, associations, unions, NGOs, etc.
Theoretically, provision of education services to elder-
ly people can be executed via a third channel as well,
close interdependence of which with the previous two
is seen in real life. Every person gains vital knowledge
and skills not only through formal and informal means of
education. Formation of an individual throughout his/her
whole life is also infl uenced by the informal information
environment, which can be called “The School of Life”.
This refers to the street, neighbors, mass media, friends,
relatives, etc. Consideration of hidden functions of in-
formal information fl ow in the process of gaining vital
practical skills by the elderly, helps to view it as one of
the forms of education.
The signifi cance of this form of education is heightened
in conditions of market relations within the society, when
the well-being of every individual depends on his/her
level of activity, motivation to gain new practical skills
and readiness for change.
It should be noted that all three forms of education in
practice overlap with one another. However, of all three
forms of education, formal education has the most pur-
poseful and systematic structure. Information education
in Kazakhstan, still at a formative stage, does not yet
have a clearly defi ned structure. Informal education as
an uncontrollable process cannot and should not have
strictly regulated structure and contents. While not ex-
cluding the possibility of using the potential of the two
other forms of education, we will examine the avail-
ability of education to the elderly in more detail. Thus,
what is the situation in Kazakhstan in terms of providing
formal educational services to the population aged of 65
and older?
The structure of the education system in Kazakhstan is
open and provides opportunities to elderly people to get
and supplement their education as needed, within the
limits of the formal education system. At general sec-
ondary education level, evening schools are available
to the elderly. The signifi cance of evening schools, as a
means of formal education, is indicated by 1999 census
data. Theoretically, not only 40.6% of the population at
the age of 65-69 could use these services, but also 3.6%
of people without primary education who could read and
write. Nevertheless, their number drastically decreased
in 1999, to 31 evening schools, in comparison with the
1991-1992 academic year when there were 226 such
schools. More recently these have gradually increased in
number and by the 2004-2005 academic year their over-
all number stood at 75 evening schools.
Also, the system of primary vocational education
does not appear to be topical for elderly people. In
the 2000-2001 academic year only 8 people aged 46
and older studied within the system, and in 2001 there
were just 16 people enrolled.72 It is worth noting that
primary vocational education is available to the eld-
erly in all regions of the Republic, despite the fact
that the number of vocational-technical schools de-
creased from 471 in the early 1990s to 285 in 1999,
while in the past few years their number has reached
only 296.
A slightly different picture appears related to the
system of secondary professional education. There
has been growth in the number of colleges in Kaza-
khstan. In 1991 there were only 244 colleges but by
2001 this number had increased by 74. Out of these
318 colleges 44 were located in Almaty and 38 in East
Kazakhstan oblast. Other colleges were in South Ka-
zakhstan (28), Pavlodar (27), Karagandy (24) oblasts.
Atyrau and West Kazakhstan oblasts had the fewest,
with nine colleges each73. An increase in the number of
colleges has been observed in subsequent years also.
According to the statistical yearbook of Kazakhstan in
2004 their number had reached 357 in the 2002-2003
academic year74. In general, all regions of Kazakhstan
have colleges – a testimony to the availability of this
level of education for the elderly, if they are willing
and fi nancially able to enroll. However, there has been
little growth in number of students in colleges aged 46
and older. In the academic year 1995-1996 college stu-
dents aged 46 and older constituted just 0.86% (1233
people) of the overall number of students. Five years
later in the 2001-2002 academic year students of this
age constituted 1.11% (2282) of the overall number of
students (196,239)75.
72 Education of the Republic of Kazakhstan / Edited by А.А.Smailov.
– Almaty: Statistics Agency, 2002, pp.84-85
73 Education of the Republic of Kazakhstan / Under edit. А.А.Smailov.
– Almaty: Statistical Agency, 2002, p.86
74 Statistical Yearbook of Kazakhstan / Edited by К.S. Abdiev – Almaty,
2004. – P. 104.
75 Education of the Republic of Kazakhstan / Under edit. А.А.Smailov.
– Almaty: Statistical Agency, 2002, pp.90-100
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Over the last two years, growth in the number of college
students aged 40-plus has been observed. According to
the Statistical Agency the number of college students
aged 40-plus constituted 3170 people in the 2003-2004
academic year. Distribution of college students of this
age group by oblast in the 2004-2005 academic year
shows the leading places to be Pavlodar (497), Aktobe
(338) and Karagandy (398) oblasts. The smallest number
of students of this age was in Atyrau oblast, with just 31
people enrolled (see Appendix 1).
The same tendency can be seen for institutes of higher
education and universities, where the number of students
aged 40 or more is increasing noticeably. For comparison,
in the academic year 1999-2000 there were 2,586 40+
university students, but by academic year 2001-2002 their
number had increased more than three times, to 841676.
The greatest number of students aged 40 and older oc-
curred in academic years 2003-2004 (13,461 students)
and 2004-2005 (17246). The number of students in uni-
versities age 40 and older by oblasts is shown in Ap-
pendix 2. Therefore, receiving higher education remains
prestigious for all age groups. Almost all high school
graduates aspire to receive higher education, despite the
fact that number of universities is smaller. Data from Ka-
zakhstan’s census years 1959, 1970, 1979, 1989 showed
that the majority of people enrolled in higher education
were men. However, the 1999 census showed a greater
number of women than men enrolled in higher educa-
tion, both within overall population and in the city – vil-
lage context. This is due to the increasing number of uni-
versities across Kazakhstan and the wider availability of
higher education in all regions. In 1991 Kazakhstan had
only 61 universities but by 2001 this number had tripled
to 185. At the same time, non-state universities began to
appear and their number has increased signifi cantly: in
2003-2004 Kazakhstan had 134 non-state universities.
76 Education of the Republic of Kazakhstan / Under edit. А.А.Smailov.
– Almaty: Statistical Agency, 2002, p. 121
Opportunities for formal postgraduate education are
illustrated by the number of post-graduate Masters/
Doctoral programs available. The number of post-
graduate places at institutes of scientifi c research
and universities has increased from 83 candidates in
1991, to 121 candidates in 38 departments by 1999
and 124 candidates in 41 departments by 2001. From
1991 to 2001 the number of doctoral studies/programs
increased from 8 to 53 departments77. However, the
growing number of such programs in subsequent years
has hardly infl uenced the willingness of those aged
65+ to occupy themselves in academia and gain scien-
tifi c degrees, except for those elderly people who are
conducting their own scientifi c work. The majority of
the older population does not use the services of post-
graduate education. The reason for their low demand
for this level of education are not age restrictions -
which do not exist in Kazakhstan - but the nature of
old/middle age, which appears not to allow people to
occupy themselves fully a in scientifi c career and en-
ter intellectual activities to a full extent.
Thus, in general all levels of formal education have op-
portunities for the elderly to receive supplementary edu-
cation or earn a degree in a second major. However, the
extent to which the elderly use such opportunities will
depend on a number of factors, especially those linked
with their fi nancial situation, as well as motivation and
perception of studying, all of which currently tend to re-
strain the elderly from using educational services. For
example, the student must cover fully or partly the cost
of study at secondary professional or higher education
institutions - whether state or private. Similarly, only
students who have received grants or loans can study
at university for free and the elderly generally do not
know their rights or insuffi ciently use the right to receive
grants and fi nancial aid. The prevailing perception there-
fore is that they will have to pay for their own education
77 Education of the Republic of Kazakhstan / Under edit. А.А.Smailov.
– Almaty: Statistical Agency, 2002, pp. 124,135
Insert 5.2.Historical perspectives on education for the elderly people1. In Japan special courses for the elderly were started in the 1960s. Organizations acting within the Japanese system of enlight-
enment provided various programs, from communal problems to educating women and mothers during childcare. In 1965 the
government entrusted local authorities to develop a system of further education for the elderly. From 1980 this system became
established.
2. In Denmark and Sweden national universities provide educational services for the elderly. In Denmark there are special univer-
sities for pensioners, with fi nance from private persons, ministries and local authorities.
3. In Great Britain in 1983 the Society of the Third Age was created. In 1995 it united 266 universities on England, Wales, Scotland
and Northern Ireland.
The separate local groups of the University of the Third Age are autonomous. “Education” here is understood in the broadest pos-
sible way. It includes physical training, as well as social activities, aiming to improve quality of life of the elderly. Attention is paid
to group education and innovation.
The British University of the Third Age functions without any constant fi nancial support, meaning students must be ready to solve
the problems of their institution independently.
4. In USA the concept of educating the elderly has been called ‘elderhostel’. It was developed by Martin Knowlton who was in-
spired by the atmosphere of the community he came across at European tourist bases. His idea is based on transferring this unique
atmosphere to the environment of elderly people, in order to show them new opportunities of rational and productive life in the
community. A well-planned program uniting education, travel and adventure – in the opinion of Knowlton – could involve the
elderly in education and support the process of personal development. This is a form of vacation, during which participants meet
new people, see new places and receive new knowledge. Courses are taught by staff of universities. The fi rst program took place
in summer of 1975 at the University of New Hampshire. During the 17 years of elderhostel’s existence over 170,000 people have
participated in it.
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if they decide to go to college or university. Therefore,
the real problem is not so much one of access to educa-
tion for elderly people, but rather a lack of preparedness
to continue their studies in the formal education system.
Another aspect is the demand for education among old-
er people. This, as for any age group, depends on the
motivation to study. The nature of motivation to study
changes depending on the peculiarities of the age stages
of personality development (Leontyev. A.N.). Naturally,
motivation for studies in old age is different from moti-
vation of younger students, since it is a dynamic process
conditioned by other incentives, purposes and circum-
stances. Thus, younger students tend to have an insa-
tiable need for learning (Bozhovich L.I.). At older ages
however, this need for learning depends on accumulated
life experience, the level of education, as well as mate-
rial and spiritual values. The present-day 65+ population
was confi dent in their future, since they have lived the
majority of their economically active lives within the
framework of Soviet ideology and a planned economy.
Having received education “for life” within a knowl-
edge-centered education system, they have found it dif-
fi cult to adapt to new market conditions and most have
not accumulated enough resources for a comfortable
retirement. This largely explains their inability and/or
reluctance to realize the importance and relevance - for
themselves and for society - of lifelong education. This
all contributes to lack of demand for education among
present-day elderly people. However, it is not impossi-
ble that in the near future forthcoming older generations
will seek various educational services, as society chang-
es and new perceptions and needs emerge.
As discussed, many elderly people do not see the need
for relearning or supplementary education late in life.
The psychology of this kind of person is important in
this issue. People who carry out narrowly specialized
functions tend not to see themselves or their work in the
wider picture. This phenomenon manifests itself as an
inability and/or reluctance of the elderly to engage in
independent work activities in order to preserve exist-
ing living standards for themselves and their families.
Therefore, an emerging problem is the quality of educa-
tion at all levels and its compliance with contemporary
requirements and its responsiveness to the demands of
the labor market. However, the level of representation of
the elderly in education remains unknown and requires
more research.
It should be noted that there are 3,500 registered NGOs
in Kazakhstan in the education sector, one third of which
are active78. Within the framework of social projects car-
ried out by these NGOs, the issue of adult education is
considered to a varying extent, but education of the eld-
erly has yet to be considered separately.
For example, the activities of education centers of local
communities (ECLC) are developing within the frame-
work of projects of the Educational Forum of Central
Asian Republics and Kazakhstan (CARK). During its
few years of existence these centers have accumulated
78 National Plan of Action on Education for All in the Republic of
Kazakhstan – Almaty, 2003, p. 64
considerable experience in educating adults, directing
them towards improving the quality of their lives. The
fl exibility and multi-functionality of these centers al-
lows them to fulfi ll their mission to educate adults and
develop society79. However, the centers have not specifi -
cally addressed the issue of educating those aged 65 and
over. This indicates a need to identify and systematize
the issue of education in the context of the ageing of Ka-
zakhstan’s population.
5.4. EDUCATION AND AGEING
The interdependence of the ageing process and educa-
tion can be seen from different perspectives. One im-
portant aspect is the infl uence of the ageing process on the education sphere from the point of view of genera-tion succession in the sense of preserving and passing
on accumulated positive experiences and learning. This
issue is topical and signifi cant in all areas of social life.
However, it can have peculiarities in one sphere or an-
other, depending on the infl uence of various external and
internal factors. Thus, within the education sphere itself
we can see the prevalence of workers at pre-pension and
pension age, especially in the system of school educa-
tion. These phenomena are most pronounced in village
schools. A survey among teachers of more than 50 small
village schools in seven oblasts of Kazakhstan in 2001
is illustrative. Among 476 respondents the majority were
teachers aged 40–48 (32.2%), many of whom are by now
approaching retirement age. Also, only 13.7% of teach-
ers work in small village schools for 3 to 5 years80. The
reason for the current situation in small village schools
is related to decreased living standards in rural areas;
decrease of teacher’s prestige; low salaries of teachers;
lack of interest among young professionals to work in
village schools and population out-migration. All these
are due to socio-economic changes in society, strongly
felt in the 1990s in rural areas.
With the ageing of the education workforce, as with any
sector, the usual solution is to raise a new generation to
replace those retiring. This is the visible and most fa-
miliar part of the problem. However, from the point of
view of society and the education system itself, those
dropping out of the system are pedagogues-pensioners
who have offi cially fi nished their labor activities. This
issue is personal: the opportunity to use their profession-
al potential and to have an active social life as bearers of
unique life experience, and has never been considered at
government level. The process of sharing spiritual val-
ues and social experience with the younger generation
occurs spontaneously, occasionally in implicit form. The
education sector must itself be interested in using the po-
tential not only of retired teachers, but also of other older
people, in a mutually benefi cial way.
As a result, examination of education as a factor in pro-
viding conditions for using the potential of the elderly
through their involvement in active social life and in
79 Report on the 2nd Session of the Educational Forum in Central Asia and
Kazakhstan – Bishkek, Kyrgyzstan, 2003, p. 24
80 National Plan of Action on Education for All in the Republic of
Kazakhstan – Almaty, 2003. p. 14
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productive work activities is topical and urgent. At this
stage, we should examine education from two aspects.
Firstly, education should create a favorable environment
for adaptation of the elderly to the new realities of living
after retirement and an appropriate educational environ-
ment if they are willing to acquire new practical skills in
order to engage in new labor activities. This means pro-
viding the elderly various types of educational services
of formal and informal character. This system structure
is sometimes known as ‘university of the third age’.
Secondly, education is a means for developing readiness
among elderly people for work and active social life
through acquiring important skills throughout their lives.
This means that the contents of education at all levels
should prepare all generations, including the elderly, for
labor and social activities for the benefi t of their country.
Thus, three key aspects of the interrelation between edu-
cation and the ageing process emerge:
• role of the elderly in carrying out succession of
generation in terms of preserving and sharing
spiritual values and social experience;
• potential of the elderly as bearers of profession-
al experience of organizing labor activities for
broadening opportunities of the country’s labor
forces;
• involvement of the elderly in active social life for
dealing with issues within their communities.
This analysis allows us to concretize possible problems
within the system itself, solutions of which can lessen
the risks of alienation of the older population, and may
increase their motivation for an active life.
Three groups of issues connected to the educational
structure and contents of education, the organization of
teaching and managing of the educational process of the
elderly are worth highlighting.
First group of issues:
• fl exibility of the structure of formal education to
satisfy educational needs of the elderly;
• acceptability of the structure of informal educa-
tional services for the elderly;
• availability of levels of formal education and sup-
plementary educational services for the elderly.
Second group of issues:
• orientation of course contents towards develop-
ing skills and competencies that are relevant for
the elderly for an economically active life, partic-
ipation in family and society, providing voluntary
services, self-expression in arts;
• course for the elderly, providing for their involve-
ment in active social life through creation and so-
lution of projects;
• in universities, absence of departments for the
preparation of specialists who will study prob-
lems of ageing and form policies of research, ad-
ministration of the solution process.
Third group of issues:
• structures to coordinate procedures to identify
and satisfy educational needs;
• suffi cient marketing services for supplementary
education for the elderly.
Measures taken to address these issues will help create
an integrated and functioning system of education for
the elderly, which will allow the educational sphere to
react appropriately and promptly to the ageing process.
Education of the elderly, as a component of the continu-
ing education system, was traditionally part of education
for adults. Considering differences in the status of the
elderly at the age of 65 and older, it seems more appro-
priate to study education of the elderly as a distinct ele-
ment of the continuing education system. This step to
understanding of the education system for the elderly is
shown by new interpretation of the “continuing educa-
tion” concept, in which special emphasis is placed on
lifelong education.
5.5 EDUCATION AS A FACTOR IN BUILDING OLDER PEOPLE’S CAPACITY
Education as a whole, as a system of values, process and result must help to create suitable conditions for elderly
people in terms of fulfi lling their wishes and aspirations
to enhance their life experience and educational level.
The starting point for this must be the attractiveness of
educational initiatives for the elderly. Benefi ts to indi-
viduals, including to elderly people, bring benefi ts to
society as a whole. In this context, education acts as a
medium between society and elderly people.
For studying this interrelation and making decisions ac-
cordingly, the basis is the life, professional and social
experience of the elderly population. Within the frame-
work of these interrelations, education acts as a factor in the development of the potential of the elderly. As was
noted above, there are three aspects of the interrelation
of education with the population ageing process, which
should be explored in order to identify certain steps for
their solution.
In examining the role of the elderly in carrying out the
succession of generations attention should focus our on
two points:
• the value of education in formation and devel-
opment of a person as an individual throughout
the entire life of the elderly. Every person, using
the opportunities of education realizes his/her in-
tellectual and spiritual potential for his/her own
benefi t and reaches the top of his/her own under-
standing of the meaning of life;
• the value of an elderly person as an individual,
with certain unique life experiences. Social expe-
rience, gained by everyone at different stages of
development, which manifests itself in personal
and professional qualities, becomes of value
not only for the person, but also for society as a
whole.
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These two points clearly present education as a factor for
social progress and the development of humanity.
This understanding of the elderly must serve as the ba-
sis for using their potential opportunities not only for
providing fi nancial support, but also for improving their
quality of life in general. At the same time, by improving
living standards through satisfying various social and
cultural needs, the elderly interact with different social
groups, bringing benefi ts to society as a whole.
Social and labor activity of the elderly as whole will ben-
efi t sustainable development of various spheres of soci-
ety, as well as strengthen the structure of civil society.
What may prevent this from happening? In general, the
absence of mobility in changing conditions and effec-
tively responding to an existing situation after offi cial
retirement or ageing. In turn, this is related to lack of
a broader range of skills, for example communication,
information search and analysis, group working, writing
projects and problem-solving. Such competencies have
generally not been developed at the various stages of
education throughout the entire life. What are the rea-
sons for this?
The current population aged 65 and older has second-
ary and vocational education of various levels, usually
gained in the 1960s when the main goal of education was
to form the personality and provide a certain educational
level for the society and labor market of that time. Edu-
cationalists of the time addressed the questions of what and how to teach.81
In deciding what to teach, the contents of education were
identifi ed. At each educational level this was presented
as a description of the system of scientifi c knowledge,
abilities and skills (KAS) by scientifi c fi elds.
In addressing how to teach, a methodology was created,
aiming to pass prepared educational information from
teacher to students. This knowledge-centered methodol-
ogy, still used today, established the basis for the intel-
lectual potential of today’s elderly, largely determining
their level of activity. The elderly therefore generally
have enough narrowly specialized knowledge, but have
diffi culty using, multiplying and restructuring it for
their own benefi t in changing conditions after retire-
ment: focusing on accumulating quantitative knowledge
throughout the entire period of education is not condu-
cive to creativity. For the elderly person who strives to
not only preserve but enhance their level of prosperity,
the entire life and work becomes art. Here we should
remember L.N. Kogan, who pointed out that a person is
a cultural value himself and “the most important part of
this value is his creative ability”82. Subject knowledge
is necessary but suffi cient for creativity. A person also
needs the knowledge of means and actions for their use
in real life for solving essential life problems. The aggre-
gate of these actions forms abilities and skills of a wider
spectrum, now known as competencies. These transform
knowledge, abilities and skills from “dead capital” into a
functioning, animated state.
81 Ungraded schools: problems and perspectives – Almaty, 2002.
82 Development of adult education. Actual data. Ministry of Enlightenment
and Sciences of Sweden, p.78. www.regerinden.sc
The process of transformation of traditional knowledge-
centered into competency-oriented education can be ob-
served in present-day conditions. In Kazakhstan it has
been recorded in major documents outlining educational
policy83. The principal difference is that the contents of
education will be structured based on expected outcomes,
presented in a form of a system of goals formulated on a
note of competency.
These new guidelines in reforming the system of contin-
uing education help to identify an approach to structur-
ing the contents of education for all generations, includ-
ing the elderly, starting from expected outcomes. The
desired outcomes are a list of competencies required for
procedural organization of educational basis of any level,
and in the case of education for the elderly, for contents
of a supplementary course. In other words, an expected
outcome is a predictable goal, on which the contents of
both educational levels and separate courses are based.
Therefore, the initial points in organizing education are
not the contents themselves, but a list of competencies
defi ned by examining the demands of the labor market
and the educational needs of the elderly.
Thus, the system of formal education should provide a
fl exible response to the evolving needs of the elderly.
However, this is only part of the problem. Passivity of
the elderly is connected not only to infl exibility of the
educational system, but also to the contents and means
of receiving basic education at previous stages of life.
Educational content, from schools to universities, ac-
quired during “education for life” often loses its impor-
tance for the person at an older age. This knowledge may
not be suffi cient for the elderly for activities in complete-
ly new situations, which manifests itself in the inertness
of their behavior, passivity and infl exibility. It is there-
fore necessary to change fundamentally the approach to
structuring the content of all levels of formal education.
The labor market and social participation of the elderly
of the future will depend on this change, as they face the
inevitable stage of their lives – old age. From the posi-
tion of contemporary elderly people, this approach will
help to structure the contents of educational services by
regulating the correlation between goals and results.
Thus, education is a major factor in forming and devel-
oping the spiritual and intellectual potential of any per-
son throughout his/her entire life and facilitating a com-
fortable, dignifi ed retirement. In terms of the problem of
education in the context of population ageing, education
for all generations is essential. Proactive measures of a
long-term character are required to improve the quality
of education for all generations, with a certain measure
directed to the elderly specifi cally.
At this stage in Kazakhstan a set of measures on the
preparation and introduction of a new model of educa-
tion is being implemented. The model is outcome-ori-
ented, as a condition for improving the quality of all
levels of education. In particular, in school education,
the introduction of a 12-year education model is planned
83 1) Concept of education development in Republic of Kazakhstan till 2015,
2) State program on education development in Republic of Kazakhstan for
2005-2010
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in 2008. It is based on a competency approach fi rst for-
mulated in the Concept of Education Development until
2015 in RK and recorded in a State Program of educa-
tion development for 2005-2010. This document high-
lights the development of other levels of education as
well. The conceptual bases of education development in
Kazakhstan, adopted at this stage, helps to expand work
of an organized, relevant and administrative character,
which is directed not only toward the quality of educa-
tion for all generations but also towards the problem of
education for those aged 65 and older. Thus, in order for
Kazakhstan’s education to support the development of
the elderly it is necessary to take actions towards the fol-
lowing:
• society’s realization of the importance of educa-
tion for the elderly as a factor for mutual enrich-
ment with material and spiritual value both on
individual and societal levels;
• reinforcing government attention for supporting
prolongation of their economic and social activi-
ties;
• society’s and government’s realization of their
responsibilities for creating conditions for estab-
lishing equal opportunities for the elderly to re-
ceive supplementary education;
• creating conditions for organizing education for
the elderly.
These goals may act as strategic guidelines for creating
functioning of systems of education for the elderly and
allow an action plan to be drawn up.
Considering the opportunity of examining the philoso-
phy of educating the elderly as an independent scientifi c
problem, use of the following practice-oriented steps is
recommended:
1. Development of a conceptual basis and normative-
legal basis of education for the elderly where functions
of the system must be outlined in aspects of:
• education for their adaptation to a market econo-
my and globalization
• education for sharing of accumulated social ex-
perience with younger generations;
• education for their development and readiness to
participate in economic and social activities.
2. Creation of an integrated system of education for the
elderly through:
• improvement of mechanisms to introduce supple-
mentary educational services into the structure of
formal education;
• managing structures of information on education-
al services and their coordination;
• creation and implementation of a series of projects
using the potential of informal education for the
elderly as conditions for developing their motiva-
tion towards learning and active participation in
social life.
3. Creation of an educational structure in universities
(self-learning or extracurricular courses) preparing spe-
cialists for researching various aspects of the ageing
process, forming policies and administrating ageing-re-
lated problem-solving, coordinating procedures of iden-
tifi cation and satisfaction of educational needs of elderly
people.
4. Development of approaches to identifying the sys-
tem of anticipated results as a base for developing vari-
ous educational courses for the elderly.
5. Development of technologies for educating the eld-
erly, focused on interactivity of the education process
and providing study in streams, groups or individually,
using possibilities for distance learning.
6. Organization of project competition and their in-
troduction within frameworks of informal education,
popularizing values of education of the elderly from the
perspectives of: value of education in formation of an in-
dividual and value of an individual as a bearer of unique
life experience.
7. Organization of project competition and their intro-
duction within frameworks of informal education, direct-
ed towards involvement of the elderly in social activities
and solving community problems; sharing experience of
the elderly in self-expression in art and organization of
various activities that bring not only material but also a
spiritual input into lives of family and society.
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ELDERLY PEOPLE IN THE POLITICAL AND SOCIAL LIFE OF THE COUNTRY
CHAPTER 6
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The extent to which age may infl uence the level of po-
litical and social activity of the population can be docu-
mented in the nature of political and social culture and
the specifi cs of political socialization, which include the
following components:
• awareness of and interest in politics and social
life;
• trust in political and social institutions;
• political and social participation84.
The last of these is the key factor. In Kazakhstan, the
most vivid political and social participation of citizens
is expressed in:
• party identifi cation and membership of political
parties;
• activity within public organizations;
• electoral preferences.
The political socialization of the general population of
present-day elderly citizens of Kazakhstan took place
in the Soviet Union in late 1930s – 1950s, i.e. a period
when the Soviet system strived to maintain the loyalty of
society by demonstrating material achievements and sat-
isfying consumer interests. Formed at that time, cultural-
political norms and stereotypes of behavior resulted from
adaptation to demands of the system. Population ageing
in Kazakhstan today means an increase in the number of
people who have gone through socialization in differ-
ent times and therefore have different political and social
behavioral values.
6.1 AGE-SPECIFIC INDICATORS OF POLITICAL AND SOCIAL ACTIVITY OF THE POPULATION
Political awareness and interest in politics. Kazakhstan’s
elderly are usually politicized, willing to discuss politi-
cal events with family members, friends and neighbors.
The majority of elderly people regularly read news-
papers, listen to informational programs on the radio,
watch news on TV: constant interest in political life is
claimed by about 57% of elderly respondents85. Elderly
people often state that political issues concern and affect
them personally.
Unlike representatives of the older generation, people
aged 40-50 show fewer signs of political interest. They
often think that their personal well-being is connected
with political events happening in the country and
abroad. The important factor is that people of this age are
actively involved in the economic life of the country.
Trust in political and social institutions. The present day
older population of Kazakhstan regard political institu-
84 Almond A.G., Verba S. The Civic Culture: Political Attitudes and
Democracy in Five Nations. Boston, 1963.
85 Results of sociological research conducted by the department of
politology and ethno-sociology, Institute of Phylosophy and Politology
of the Ministry of Education and Science of the Republic of Kazakhstan,
within frameworks of project “Perspectives of forming civil society
in Kazakhstan in contents of transforming of political system and
political culture” (partly published in “Institututional and socio-cultural
prerequisites of civil society in Kazakhstan// Problems of formation of
civil society in Kazakhstan. Almaty: Publishing centre of the Institute of
Phylosophy and Politology of Ministry of Education and Science of the
Republic of Kazakhstan, 2002, pp 5-11). Further – Project “Perspectives of
formation of civil society in Kazakhstan.”
tions with considerable trust in comparison with peo-
ple of middle and younger age. Often their discontent
is caused by specifi c individuals – representatives of a
political institution, but not the institution itself (Majilis,
government, court, police, local authorities). This am-
bivalent perception of the situation causes considerable
uncertainty in evaluation of the acting regime. According
to data of “COMCON-2 Eurasia”86, the majority of re-
spondents who were unsure whether or not the results of
Majilis elections were falsifi ed, were people aged 65 and
older (38.5%). At the same time, elderly people take an
optimistic position on the effectiveness of Majilis’ work
– 66.7% of them think that its work will give positive
results. Even more optimistic is attitude towards Majilis
among respondents at 18-34 age range, 70% of whom
consider its work to be positive. However, the majority
of those who will be elderly by 2015 were considerably
more pessimistic, with only about 55% considering Ma-
jilis’ potential as positive.
The elderly have much lower levels of trust towards re-
forms, such as modifi cation of the pensions and privi-
leges systems. Elderly people view critically reforms
conducted since independence. However, this negative
attitude is caused not by the idea of reform, but by their
methods of implementation. Most discontent is caused
by the results of social policy, with 53.6% of elderly peo-
ple expressing dissatisfaction with their lives87. The idea
of reform itself is more widely supported by the urban
rather than rural population.
Present-day elderly people have little or no experience of
working with effective public associations and organiza-
tions. Organizations of this kind (e.g. labor unions) that
existed in Soviet Union, were, as a rule, viewed negative-
ly: it was thought that their activities were aimed at sup-
porting their respective organizers and not giving anything
to their rank and fi le members. This perception is often
transferred to present-day public associations and organi-
zations working in Kazakhstan, for example the “Poko-
lenie” movement and Central Council of Organization of
Veterans of Republic of Kazakhstan88, which mostly play
little more than an allocation-registration role.
On the whole, trust in public associations and organiza-
tions among elderly people is considerably lower than
their trust in political institutions.
Thus, the political culture of the elderly appears not to be
a highly ideologized one with strong socialist or commu-
nist values. Although the older generation for the most
part idealizes the period before the start of political and
economic transformations of the mid-1980s, these pref-
erences are motivated both by ideology (social justice,
equality, equal access to benefi ts such as quality health-
care and education) and by material benefi ts such as low
stable prices, merited pension and social privileges.
86 Attitute of the population to passed elections to Mazhilis Parliament of the
Republic of Kazakhstan. Almaty: COMCON-2 Eurasia, 2004.
87 Project “Perspectives of formation of civil society in Kazakhstan”.
88 See, for example, evaluation of work of Central Council of Veterans’
Organization in the Republic of Kazakhstan: Analytical review of
discussion club “Polyton” On problems of veterans of WW2// http://www.
club.kz/index.php?mod=analitics&submod=self&article=278 (retrieved on
29.04.2005).
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The purposes and values of people entering the older
generation by 2015, whose socialization happened much
later, will change. Unlike the current older generation,
only a minority of 40-50 year olds express their trust in
existing political institutions. They are more likely to
approve of the ideas of liberal-democracy and market
changes in the country. Thus, loyalty to the idea of re-
form is combined with distrust towards acting political
institutions, and a sense that everything is made “kind of
wrong” – among this age group dissatisfaction with life
was already expressed by about 67 per cent. Such distrust
spreads not only to acting politicians, but also to the in-
stitutionalized system. The contemporary population of
Kazakhstan at the age of 45-50 has a more positive ex-
perience of work with public associations and organiza-
tions, has skills for effective protection of their interests
(especially economical) exactly through these structures
rather than through political structures. Thus, regarding
this perspective the elderly are likely to develop more
trust towards public associations and organizations. Peo-
ple aged 40-50 also have a rich and positive experience
with NGOs (national and international), which may help
them in future to solve their economic and social prob-
lems more effectively.
Political and social participation. One of the distinct
features of politico-cultural norms of present-day elderly
people in Kazakhstan is their tendency towards active
political and social participation89. Of the possible forms
of political participation we can highlight the following:
• conventional participation (voting);
• non-conventional participation (meetings, dem-
onstrations, protest campaigns)90.
Usually, the older generation is more inclined towards
conventional participation, with elderly people inclined
to express themselves as “active electorate”, thinking
that meetings and protest campaigns are not effective
ways of struggle91. Voting is part of their way of life,
a habit acquired during primary political socialization.
89 Bahry D., Way L. Citizen Activism in the Russian Transition// Post-Soviet
Affairs. 1994. Vol. 10.
90 Political Action: Mass Participation in Five Western Democracies. Beverly
Hills, 1979; Miller E.N. Aggressive Political Participation. Princeton,
1979.
91 Bahry D., Way L. Citizen Activism in the Russian Transition// Post-Soviet
Affairs. 1994. Vol. 10.
Thus, according to “COMCON-2 Eurasia”92, the share
of the population that participated in the Majilis elec-
tions, increased with age, with 71.8% of over 65s voting.
Participation of persons aged 55-64 was nearly the same,
at 73.8%. Among those who will make up the major-
ity of the older generation in the next 30 years, electoral
participation rates decrease signifi cantly: 56.6% of peo-
ple aged 45-54 and 52.4% of people in the 35-40 age
group.
Moreover, voting more often attracts those who lack the
resources needed for more “expensive” forms of politi-
cal participation, such as membership of political par-
ties. In conditions of Kazakhstan today the only excep-
tion to this is the organized part of the elderly population
(e.g. “Pokolenie” movement). A high level of conven-
tional political participation is seen among elderly peo-
ple even if they only weakly believe in the possibility
of real infl uence on decision-making. This shows the
peculiarities of motivation for participating: the action
itself is important, not necessarily its content. However,
some sociological research93 shows that a considerable
part (43%) of the contemporary older population is con-
vinced that collective action of the population can lead to
the reversal or change of bad decisions of the authorities.
Among 40-50 year olds only 32% of respondents believe
this to be the case.
What are the features of electoral participation of the
elderly?
Usually, it is thought that pro-communist forces have
high popularity among the elderly and undoubtedly there
are some grounds for this opinion. By supporting com-
munists in elections, the elderly strive to express their
protest against methods of reform in Kazakhstan. In the
minds of elderly citizens the Communist Party is associ-
ated with political power, since during its era their lives
were more stable and successful - about 71% of elderly
people think that in Soviet times there was more justice
than now94. At the same time the ideological motives for
supporting the communists often fades to the background,
giving space to expectations from the government of
well-planned and purposeful socio-economic policy to-
wards the elderly people, instead of one-off campaigns
(paternalistic model). Evaluating the real electorate of
the current Communist Party of Kazakhstan is diffi cult
as at the last election (Majilis election of 2004) the party
formed a coalition with the party Democratic Choice of
Kazakhstan. Presumably, the electorate of the Commu-
nists is about 16% of people aged 65 and over.
Gradually, the place of the Communist Party, among the
priorities of the elderly, is being taken by pro-govern-
ment parties. On the one hand, these reproduce the pater-
nalistic model of interaction with the older generation.
On the other hand, to a greater or lesser degree they rep-
resent stability. Thus, the electorate of the “Otan” party
includes 11% of all elderly people, “Asar” – 15% and
block “Aist” – 20%.
92 Attitude of the population to passed elections to Majilis of the Parliament
of Republic of Kazakhstan, Almaty, COMCON-2 Eurasia, 2004.
93 Project “Perspectives of formation of civil society in Kazakhstan”.
94 Ibid.
Insert 6.1.Movement of social protection for pensioners “Pokolenie” (Generation), Republican movement of pensionersThe organization was offi cially registered on November 24, 1992.
Chair – Savostina Irina Alekseevna. The main goal – social pro-
tection of pensioners during the transition period, lobbying their
interests, cooperation in providing pensioners with medical sup-
plies and services. Methods include appearance in mass media
and protest campaigns against violations of pensioners’ rights. In
May 1998 “Pokolenie” appealed to pensioners to hold peaceful
meetings on central squares of the cities of Kazakhstan on the 30th
of every month, in order to attract attention to their situation. The
movement calls on pensioners to vote in elections and referen-
dums and to act as voluntary observers during polls. Currently
Pokolenie is supported by about 2 million elderly people and there
is no upper limit on membership. It has several dozen activists
working in Almaty and branches in other regions.
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In general, the political views of elderly people in Ka-
zakhstan are of a moderately centrist character (see. Ta-
ble 6.1).
Table 6.1. Socio-demographic characteristics of elec-torate of leading political parties, 2004, by age, % of supporters of each party (block, union)95
Age Otan Asar Ak Zhol AIST (block)
CPK and DCK
(union)18–24 12,50 19,32 21,05 9,09 8,11
25–36 20,00 25,00 19,08 12,73 13,51
35–44 24,79 15,91 26,32 21,82 18,92
45–54 17,71 13,64 11,84 23,64 27,03
55–64 13,96 10,80 9,87 12,73 16,22
Above 65 11,04 15,34 11,84 20,00 16,22
Any assessment of changes in electoral trends with regard
to population ageing must consider both the current political
preferences of people aged 40-50 and the effectiveness of
economic and political reforms conducted in Kazakhstan.
Considerably lower is organized social participation
among the elderly. Sociological data shows that the
elderly practically do not participate in work of NGOs:
trust of civil associations and NGOs was expressed by
only 25% of elderly respondents, and open distrust by
43%96). Reasons for mistrust of public associations and
organizations were mentioned above. Meanwhile, the
elderly tend to participate actively in the resolution of
concrete social issues, for example related to their own
dacha (summer house) or local KSK (housing associa-
tion). Also, temporary initiative groups may be formed
and then disintegrate as the goal is achieved. Since eld-
erly people have rich life experience and practical skills
in their work, they could spread their experience and
knowledge among children through various neighbor-
hood and interest clubs. This is a topical issue, as un-
planned children’s leisure time is the primary cause of
juvenile delinquency and drug abuse. This kind of activ-
ity, therefore, could satisfy the elderly’s need for sociali-
zation without being a burden on their health.
Present-day 40-50 year olds will also change their pref-
erences as they reach old age. On the whole, people
aged 40-50 are more passive politically than the elderly.
Political apathy is, on one hand, a result of low loyalty
typical for the political culture of this age group. The in-
effectiveness of the system decreases willingness to sup-
port it in “conventional” ways, e.g. voting at elections.
On the other hand, political apathy is also related to the
active involvement of 40-50 year olds in the economic
processes and need to “make ends meet”.
6.2 ANALYSIS OF PROGRAMS OF POLITICAL PARTIES FROM THE PERSPECTIVE OF OLDER PEOPLE’S INVOLVEMENT
The high level of political participation among the eld-
erly, must, in terms of political theory, be an indication
95 Elections of 2004 in Kazakhstan: step by step. Monographic collection.
Under edition of G.T.Ileuova, D.R.Ashimbayeva, Almaty, “Credo”, 2004.
p. 280
96 Project “Perspectives of formation of civil society in Kazakhstan”.
of adequate electoral policy of Kazakhstan’s political
parties. However, if in the West political parties usually
appear to be based on defi ned group interests, in Ka-
zakhstan their creation may be associated with aspects
of social structure. The previous social system was de-
stroyed rapidly, while new social structures and corre-
sponding groups and layers do not form as quickly as
reformers might wish.
The amorphous and atomized nature of contemporary
Kazakhstan society, as well as the uncertainty, ambiguity
and mobility of new social groups and layers consider-
ably slows down the formation of a social basis of party
structures. Partly due to this, political parties in Kaza-
khstan do not conduct focused electoral policies, includ-
ing one oriented towards the elderly.
To prove this hypothesis research was conducted on the
programs of political parties of Kazakhstan based on
content analysis. As the main category of analysis, ideas
were taken, which characterized political, economic and
social problems. This allowed defi nition of the priorities
of party positioning, aimed at attracting potential sup-
porters from among the elderly.
Most Kazakhstan parties pronounce themselves as par-
ties of the people. Therefore, their social base is blurred
and relying on certain social groups as part of position-
ing of political parties, cannot serve as a defi ning crite-
rion for parties’ identifi cation of the elderly.
Similar diffi culties occur in relation to goals and values
that are defi ned in party program documentation. The
goals of parties APK, CNPK, CPK and DCK propose
moving towards a society of freedom and social justice,
with a society of equal opportunities. Strengthening and
development of state systems is the goal of CPK, DPK,
Auyl. Parties as Ak Zhol, Rukhaniyat, Otan and Asar
have defi ned as their goals the building of a democratic
state and society. As such, in their various formulations
practically all political parties support the ‘democratic’
development of the Republic. Thus, in accordance with
their manifestos all Kazakhstan’s parties can be described
as parties with a democratic orientation. The same pic-
ture appears in terms of defi ning values. Often, in the
programs of Kazakhstan’s parties values such as inde-
pendence, democracy, freedom, justice and solidarity
are mentioned. Thus, Ak Zhol mentions independence,
democracy, freedom and fairness. DPK – freedom, law,
fairness and consent. Otan – freedom, fairness, solidar-
ity, equity and brotherhood. Asar – prosperity, freedom,
fairness and solidarity. Auyl – freedom, fairness and
solidarity. However, exactly these values are the basis of
socio-democratic values.
In these conditions of parties’ ambiguous expression
of ideological preferences, conventional classifi ca-
tions “left – center – right” do not work in Kazakhstan.
We can only speak of ideological orientation of a very
narrow circle of parties and this undoubtedly hinders
electoral choice. In conditions of ambiguity, ideo-
logical distinctions between political parties play an
important role for the elderly in particular, who have
preserved their ideological preferences for Marx-
ist-Leninist theory (i.e. identifying themselves with
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CNPK and CPK). At the same time, liberal ideas have
rooted themselves with, fi rst of all, those social groups
that managed to learn the new rules of the game and
adapt themselves to new conditions. Present-day eld-
erly people of Kazakhstan, in general do not belong
to this group of the electorate. However, no doubt
that situation will change with the ageing of younger
generations – when the basic mass of elderly people
will consist of present-day 40-50 year olds, who have
accepted or adapted to liberal-democratic values and
behaviors.
Party programs in general are structured by sections that
correspond to basic spheres of vital activities of soci-
ety: political, economic and social. The contents of these
program sections allow the electorate to evaluate the po-
sitions and priorities of parties.
Analysis of political positioning of parties allows three
groups to be defi ned:
• CPK, CNPK, DCK (rapid transition to concrete
and far-reaching reform of the political system);
• Ak Zhol, PPK, Auyl (gradual reform of political
systems);
• Otan, CPK, APK, Asar, Rukhaniyat, DPK (sup-
port for the existing order, with slight changes in
the political sphere).
Often however, the practical actions of the parties not
only do not prove, but on the contrary seem to refute the
priorities expressed in the programs. This further hin-
ders the process of party identifi cation for the electorate,
including elderly people. One of the factors within the
structure of political dispositions for the elderly can be
contrasting the image of the acting authorities and the
society. In this sense, the most attractive for them would
appear to be the programs of opposition parties: DCK,
CPK, CNPK, Ak Zhol.
The greatest attention to economic issues was given
in the programs of APK and Auyl, for whom a signifi -
cant focus is agricultural and rural development. To
a lesser degree, economic issues are touched upon in
the programs of other parties. At the same time, the
programs of most parties have sections on the neces-
sity of increasing the role of the state in regulating the
economy, as well as the need to liberalize and diver-
sify the economy. Since elderly people are generally
less actively involved in the economic process, when
identifying political preferences economic aspects of
party programs can only be signifi cant in conjunction
with social priorities. This is also explained by the fact
that realization of some liberal projects not only failed
to improve living standards, but also caused negative
social consequences. Therefore, most older people sup-
port a secure, powerful state, social welfare and guar-
antees.
The social aspects of party programs are the most rel-
evant for the elderly electorate, since they touch upon
their everyday interests. Almost all parties pay atten-
tion to the social expectations of the elderly in their pro-
grams. (See Table 6.2.)
Table 6. 2. Positioning of social expectations of pen-sioners in program documents of political parties of Kazakhstan97
№ Party Меры, направленные на осуществление социальных ожиданий пенсионеров
1 APK N/A
2 CPK
Amount of pension payments is defi ned not by the
date of retirement, but a person’s seniority. We as-
sume the possibility of returning to the question of
pension provision for workers of hard (list 2) and
severely hard (list 1) professions. If regarding list
1 there was some compromise in the form of state
aid, list 2 was left without proper attention. We sug-
gest introducing special aid to workers, included in
list 2, who have reached the age of 48 (women) and
53 (men), who worked in these professions for 20
years or more.
3 Ak Zhol
Special attention must be given to pensioners,
providing a system of pension provision that con-
sists of: aid by age given to every citizen who has
reached retirement age, regardless of previous la-
bor activities or pension savings; pension payments
from solidarity and/or obligatory saving systems;
pension payments from voluntary pension savings
4 DCK
Party will strive to achieve improved levels of so-
cial protection to certain groups on low incomes –
pensioners, mothers with many children, disabled.
Double, as a minimum, the amount of pensions and
social aid. Return to the previous retirement ages
of 60 years for men, 55 for women.
5 DPK
Adapt existing legislation to the interests of so-
cially vulnerable groups (unemployed, pensioners,
disabled). Create control over transparency and
legitimacy of state organs during entitlement and
payment of addressed social aid.
6 Auyl Strengthening social protection of pensioners.
7 CNPKFully restore the social sphere: supported retire-
ment. Actively support veteran organizations.
8 CPKStruggle for protection of women, children, elderly
and family as a whole.
9 PPK
Improving the life of pensioners. Conducting in-
dexing of pensions and aid for disabled and other
needy citizens.
10 Rukhaniyat
Directing budget expenditures towards increasing
the amount and timely payments of pensions, aid,
grants, salaries to state workers, calculated from
the amount of minimum living wage.
11 Otan
Addressed help to socially vulnerable groups
– people in need, pensioners. Creation of digni-
fi ed life for elderly people by means of guaranteed
social, medical and everyday services, supportive
atmosphere for their treatment with respect.
12 AsarCreating conditions of dignifi ed life of elderly peo-
ple.
Thus, analysis of the manifestos of Kazakhstan’s main
political parties leads to a conclusion that practically all
parties aspire to use the political activity of the elderly in
their own interests. However, at the same time parties do
not have focused policies, including those oriented to-
wards the elderly. As the 40-50 year age group approach
pension age, and are oriented not only to the social con-
sequences of political and economic changes, but also
on the mechanism itself, this position of political parties
will not be suffi cient and may lead to greater political
alienation of forthcoming older generations.
97 Guide to programs of political parties of Republic of Kazakhstan, Almaty,
“Litan”, 2004; Buluktayev Y.O., Chebortayev A.E. Political parties of
Kazakhstan, 2004, Directory, Almaty “Complex” printing house, 2004
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6.3 NATIONAL AND INTERNATIONAL NGOS AND DONORS FROM THE PERSPECTIVE OF OLDER PEOPLE’S INVOLVEMENT
Main NGOs/donors in Kazakhstan can be divided into
fi ve groups:
(1) donors of UN system;
(2) international fi nancial institutions;
(3) state-donors and their donor programs;
(4) international non-governmental organizations;
(5) national non-governmental organizations.
Analysis of distribution of free (grant) donor help by sec-
tors by the international community shows that one prior-
ity area of cooperation is administration (democratic and
rights reforms, institution and capacity building, policy
advice) which accounts for 47% of the total amount. Sec-
ond by amount is support for economic reforms (41%).
Seven percent is allocated to environmental protection,
3% to poverty reduction and 1% to gender issues98.
A slightly different picture emerges in relation to aid in the
form of loans. Here, the priority directions are economic
reform (49%), management support (39%), poverty re-
duction (9%) and environmental protection (3%)99.
In the fi rst group of donors, institutions and programs
working within the framework of the UN are empha-
sized. Donors of the UN system cooperate with Kaza-
khstan within four strategic priority areas:
• public security and human development;
• management (reforms on central and local levels,
reforms of the police);
• democratization and enhancement of partici-
pation (support for the development of gender
programs, programs on human rights, support to
NGOs and civil society);
• environmental protection.
In the second group of donors are the World Bank,
EBRD, ADB and IDB. Issues of ageing are touched upon
indirectly by these donors, in relation to issues such as
healthcare and pension reforms, social protection, sup-
port for non-extractive industries and small and medium
entrepreneurship, analysis of poverty problems.
In the third group are the following state donors: in par-
ticular EU member countries and USA.
Among the fourth group are donors working on the
territory of Kazakhstan, such as International Fund to
Save the Aral Sea, Conrad Adenawer Fund, Soros-Kaza-
khstan, Friedrich Ebert Fund, Eurasia and others. These
organizations do not have special programs focused on
work with the elderly, but do realize projects indirectly
connected with problems of the elderly, or conduct one-
off campaigns supporting the elderly. For example, in
2004 Zhambyl oblast’s public association “Center for
Justice” received a grant from Soros-Kazakhstan for
improving the quality of decisions made on authority
level (executive and legislative) with consideration of
citizens’ opinions - especially pensioners - by organizing
a dialogue between pensioners and political parties, in
98 Assistance to Kazakhstan. Almaty: UNDP, 2003. P. 19.
99 Ibid P. 19-20.
order to increase the level of trust towards the govern-
ment and improving pensioners’ well-being.
Volunteer programs providing help to the elderly in need
are relatively well-developed. The idea of volunteering
is actively used not only by public organizations and
funds, but also by government structures. For example,
in summer of 2005 in Taldykorgan, with a grant from the
Almaty Oblast Akim, a project named “Developing the
volunteer movement among the youth for social support
of the needy” began implementation. Its goal is to pro-
vide single elderly citizens, veterans of labor and WW2
with legal, social, psychological and humanitarian help.
University and vocational school students and unem-
ployed youth participate in realization of the project.
Thus, it appears that none of the international organiza-
tions/donors directly support the elderly in Kazakhstan.
Indirect support does occur, however, through poverty
reduction and gender initiatives, for example. This may
be explained by the fact that donors’ and international
organizations’ programs are primarily aimed at the eco-
nomically active population.
The fi fth group is national NGOs. Signifi cant among these
are organizations whose goal is either direct work with the
elderly, for example the Central Council of Organization
of Veterans of the Republic of Kazakhstan, local councils
of war veterans and pensioners, “Pokolenie”, public asso-
ciation “Ardager”. Others work indirectly to solve prob-
lems of certain social, economic or environmental issues
(e.g. public association “Baspana”, Association of victims
of political repression, etc). Social support and charity
help for the elderly - primarily pensioners - is also provid-
ed by labor unions. In this situation, charity help usually
happens for Victory Day and Day of the Elderly.
Unfortunately, recording the level of participation of the
elderly people in the work of NGOs is not possible due
to an absence of relevant statistics.
6.4 GOVERNMENTAL AGENCIES FROM THE PERSPECTIVE OF OLDER PEOPLE’S INVOLVEMENT
In general, Kazakhstan lacks a targeted state policy to-
wards older people, and a corresponding legislative and
institutional basis that would unite state actions both on
national and regional levels.
This is mostly due to the fact that in Kazakhstan age dif-
ferences among the population are not highlighted, al-
though to some extent youth is an exception. Attention is
put mostly on other criteria such as form of employment
and ability to work, fi nancial well-being, certain group
or individual achievements. Based on these criteria the
older population falls into such groups as pensioners,
disabled workers, veterans of WW2 and others. This ap-
proach seems to be relatively justifi ed, although it con-
ceals substantial peculiarities and needs of the elderly. In
relation to the groups mentioned, a relatively full legisla-
tive base is formed, which includes such documents as:
• Law “On pension provision in the Republic of
Kazakhstan” (12.06.97)
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• Law “On state addressed social help” (17.07.2001)
• Program on poverty reduction in the Republic of
Kazakhstan for 2003-2005
• Decree of the President of the Republic of Kaza-
khstan, on validity of law, “On privileges and so-
cial protection of participants and disabled from
WW2 and persons connected to them (28.04.95,
with further amendments).
As with any list of legislative acts, the existing model in
Kazakhstan is not perfect and has faced serious criticism.
Practical realization of this model is criticized as well, as
it is burdened with bureaucratic obstacles and corrup-
tion, which cause the elderly to feel injustice and deceit
from the state bodies. However, in general this legisla-
tive base is a necessary foundation for further work.
A major problem is that there is no strategy of systemic
work with the various elderly groups, which could be di-
rected both to improvement of their living standards and
using of their social, cultural and political potential. Thus,
Kazakhstan lacks statistical data on the political and social
participation of elderly people. There are some one-off
campaigns for reform and improvement of the well-being
of certain groups of elderly people such as war veterans
and the disabled. One key issue is a lack of recording of
interests and processes of socialization of elderly people
migrating to Kazakhstan from other countries.
The distinguishing feature of the current approach to is-
sues of the elderly at the higher political level is con-
creteness and pragmatism. Positions stated in the Ad-
dress of the President of Kazakhstan to the people of
2005100, which directly concerned the older generation
are targeted fi rstly towards dignifi ed provision of life for
the most vulnerable members of society” and assumes a
program of deepening of social reforms to form a system
of providing dignifi ed retirement. In practice, this pro-
gram involves increases in the minimum pension at the
expense of additional base pension payments, i.e. fi rstly,
has socio-economic character.
Other political and cultural interests of the elderly are
not mentioned separately, but are considered as a whole
concerning citizens of Kazakhstan in a program of po-
litical reforms, which are directed to “further democra-
tization of Kazakhstan in accordance with the traditions
and principals of Western democracies and experience of
leading states of South-East Asia, with traditions of our
multi-national and multi-faith society”101.
This program assumes:
• use of the potential of the acting Constitution, con-
crete use of rights provided in the Constitution
• reform of executive power, directed towards its
decentralization, regulation and increase of its ef-
fectiveness
• strengthening authority/prestige of legislative power
• development of institutions of the court system
and strengthening of legislative protection of citi-
zens’ rights
100 Address of the President of Republic of Kazakhstan to the people of
Kazakhstan: Kazakhstan on a way to rapid economic, social and political
modernization// Kazakhstanskaya Pravda 12.02.05
101 Ibid
• development of institutions of civil society.
It is also assumed that this program will be based on dia-
logue with the entire society.
At regional level, policy of the executive authority in re-
lation to elderly people is usually of a situational charac-
ter and is linked to certain signifi cant dates and holidays.
Thus, in practically all oblasts of Kazakhstan on the 1st of
October the Day of the Elder is now celebrated. Within
the framework of this day there are free fi lms and retro-
concerts, holiday lunches and teas, and some material
support for the elderly. At the same time local akimats
actively cooperate with entrepreneurs. As a rule, large
enterprises quite actively support their veterans.
CONCLUSIONS
Present-day elderly people of Kazakhstan are character-
ized by suffi ciently high level of interest in politics and
social life. They typically display a high level of trust in
political institutions, and participate in political activity.
Their trust and involvement in civil society is considerably
lower, although elderly people possess skills and knowl-
edge that can be actively used by local communities.
The social and political peculiarities of elderly people
are not uniform and can change depending on conditions
of socialization. Population ageing in Kazakhstan will
soon lead to an increase in those elderly who experienced
socialization in other times than present-day elderly peo-
ple. Therefore, people who will enter older age by2015
will have different political and social behavioral char-
acteristics, which are likely to include considerably less
participation and trust in political institutions, and higher
levels of social and economic activity.
At government level there are few decisions that are fo-
cused on the elderly. Measures related to elderly people
are directed either at their specifi c subgroups (veterans
of WW2, disabled), or at pensioners in general (certain
social privileges). A similar approach is typical of inter-
national and national NGOs, public organizations and
associations. In many respects, the absence of a strategy
in relation to the elderly is explained by confl icts of in-
terest of various sections of society, as well as by lack
of urgency around this issue in Kazakhstan. In general,
there remains relatively little demand for the high level
of political and social activity of the elderly population
of Kazakhstan.
Insert 6.2.From address of Akim of Pavlodar city N. Chmykh to heads of enterprises, entrepreneurs, all residents of Pav-lodar. Annually 1st of October in our city became a tradition to hold
the Day of the Elderly Person, in order to help citizens of old-
er age, who happened to be below the line of poverty in our
economically tough times. I am asking you to have mercy,
humanity and compassion, give charity help to pensioners,
disabled, people in need of not only social support, but also
attention and care from society. I express hope that you will
take the problems of the older generation with a sense of deep
understanding.
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NATIONAL HUMAN DEVELOPMENT REPORT – 2005
AND RECOMMENDATIONS
CONCLUSIONS
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The projected rapid ageing of Kazakhstan’s population
after 2015 necessitates action both on the part of the
government and civil society to implement the Madrid
International Plan of Action on Ageing.
When planning such actions, the following characteris-
tics of population ageing in Kazakhstan should be borne
in mind:
• the deteriorating physical, mental and emotional
health of older people demonstrated by growing
disease incidence, disability and mortality rates;
• the growing dependency of senior people on the
economically and socially active population and
declining competitive advantage of people at
(pre)retirement age on the labor market;
• the limited social participation and poor access of
older people to community benefi ts and services
and growing maladjustment and social exclusion
of the elderly;
• older people’s disorientation in today’s socio-cul-
tural context, diffi cult social communication and
lower levels of families’ responsibility in taking
care and meeting the needs of their older mem-
bers.
Ageing and vulnerability of older people neces-
sitate a common concept of national policies and social
attitudes related to the elderly to make their social en-
vironment more vibrant, improve their social and eco-
nomic security, facilitate their intellectual and cultural
fulfi llment and promote their active social participation.
It should also be remembered that issues relating to pop-
ulation ageing should be addressed as part of overall hu-
man development challenges.
Therefore, this should result in:
• better protected rights and interests of older peo-
ple;
• improved social and economic security of the eld-
erly through enhanced social security schemes;
• a network of institutions providing essential serv-
ices for seniors;
• better social and economic adjustment of older
people and enhanced social communication;
• improved coordination of government authorities
and agencies as well as non-governmental organ-
izations working with the elderly.
1. DEVELOPING NATIONAL POLICIES AND IMPLEMENTATION MECHANISMS
Due to age-related factors, older people often have dif-
fi culty adjusting to the changing social and economic
environment and require guaranteed support on the part
of the government in many spheres. Therefore, Kaza-
khstan’s social policy should focus on facilitating im-
proved living standards and quality of life for older peo-
ple and ensuring their active social participation through
better legal protection, networks of social and medical
services and provision of targeted assistance.
There is a need for a special state program to:
• improve and enhance the network of institutions
and agencies providing vitally important social
services to older people such as gerontology cent-
ers, respite services, mobile social services, inte-
grated medical and social care centers, hospices,
collective guardian boards and support clubs for
older people;
• build the capacities of healthcare agencies servic-
ing older people, hospitals for veterans, as well
as integrated medical and social services and hos-
pices;
• fi ne-tune the savings-based pension scheme and
use more widely pension asset investment tools,
further develop those entities constituting the
savings based pension scheme and encourage
voluntary and professional pension schemes;
• enhance targeted social and fi nancial assistance
and services;
• support NGOs working to protect the rights and
interests of older people and providing services
for them;
• promote better social and economic adjustment
and social communication of the elderly by in-
volving social sector organizations and NGOs, as
well as providing opportunities for older people’s
continuous education;
• support older people’s enthusiasm and integration
into today’s context through their involvement in
NGO activities and appropriate labor activity;
• ensure better access for older people to cultural,
educational, awareness-raising, advisory and rec-
reational opportunities and modern information
technologies;
• support studies into the most challenging areas of
social protection of the older generation.
The program is justifi ed by Kazakhstan’s economic
performance indicators which confi rm that Kazakhstan
is a dynamically developing economy. High economic
development rates enable an effective response to the
threats and challenges Kazakhstan is or will be facing, in
particular in terms of population ageing, thus contribut-
ing to poverty reduction and development of its human
potential.
In addition to initiatives directly focusing on older peo-
ple, action should be taken to address ageing in general,
for example by:
• increasing public expenditure on education and
health;
• sustaining national policies related to mother and
child support;
• establishing a social security scheme to guarantee
decent maintenance in old age.
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2. DEVELOPING A LEGISLATIVE FRAMEWORK
Population ageing and measures to improve older peo-
ple’s living standards and quality of life require an ad-
equate legislative framework. Since ageing has not yet
been recognized as a signifi cant factor affecting the
country’s socio-economic and political situation, it has
not been addressed in any legal acts. Therefore, norma-
tive and legal documents produced and used by organi-
zations and agencies working with older people should
be properly fi led and indexed. Such organizations and
agencies include social services, gerontology centers,
respite services, integrated medical and social care insti-
tutions, hospices and NGOs.
There are no special government initiatives focusing on
the older age group. The measures taken to improve the
quality of life of older people do not take a common ap-
proach. They are mainly aimed at reforming the benefi ts
scheme and improving the fi nancial welfare of individu-
al groups of older people such as war veterans and those
with disabilities. Therefore, new legal acts should be tai-
lored to the needs and interests of all older people.
When taking legislative and management decisions, the
following should be included:
• fi xed procedures that cannot be affected by individu-
al bureaucratic decisions;
• mechanisms ensuring the transparency of state au-
thorities working with older people through cooperation
with both supervisory authorities and civil society.
Of utmost importance is the development of a legislative
basis which can facilitate the meaningful participation of
older people in the decision-making that affects their lives.
3. DEVELOPING INFRASTRUCTURE
Clearly, the government is not able to solve all problems
related to ageing. It can, however, ensure an environ-
ment conducive to the development of the older popula-
tion and operation of NGOs by, fi rst of all, developing
the required and supportive infrastructure.
This is particularly relevant in the healthcare sector
where special gerontology, medical and social services
can be set up to provide medical and social care for the
elderly and develop rehabilitation, palliative and social
services. Demand for gerontologists and general prac-
titioners should be taken into account when identifying
priorities in the education sector.
Another task in building infrastructure for older people
is to promote a system where local authorities provide
services for lonely older people. Local authorities should
be able to provide lonely and low-income older people
with boarding accommodation where essential services
are provided and comfort ensured. The establishment of
private boarding houses for older people and special sub-
sidized shops for the elderly with fi nancial constraints
should be encouraged. Also, it is important that daycare
facilities and crisis and rehabilitation centers for older
people are in operation.
The third and arguably most important measure in build-
ing infrastructure for older people concerns local com-
munities supporting the elderly and involving them in
different non-governmental associations. In this respect,
the government should develop a set of measures to sup-
port families and local communities to take care of sen-
ior people and integrate them into local communities.
4. BUILDING A DATABASE
In order to analyze ageing holistically, with all its so-
cio-economic implications and actions to improve living
standards of the elderly, the following is required:
• research in key issues related to population age-
ing and the status of older people;
• monitoring and sampling of social, economic and
demographic surveys and surveys of fi nancial
and housing conditions of older people;
• pilot projects in key areas of social protection for
older people.
Coherent international and national conferences, sym-
posiums and workshops can help draw public attention
to ageing and the status of older people and serve as an
incentive for further topical research and exchanges.
The age group of 64+ should be singled out, with a
breakdown by gender and place of residence, including
collection and analysis of statistics, particularly related
to the following categories:
• older people’s economic status;
• older people’s political and social participation;
• morbidity rates and frequency of older people’s
visits to medical facilities.
To analyze population ageing in a holistic and systematic
way, a set of respective indicators should be developed
and the database enhanced both through offi cial statistics
and regular thematic research to be conducted by vari-
ous research agencies and NGOs. Such studies should
focus on:
• labor activity;
• psychological factors of ageing;
• inter-generational communication;
• monitoring of the observance of older people’s
consumer rights;
• oversight of medical facilities and healthcare;
• monitoring of access to public transport and other
means of transportation.
Mass media should play a key role to:
• promote public awareness of ageing issues and
promote international principles and standards of
decent maintenance in old age;
• raise public awareness of programs and projects
that involve older people.
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5. INSTITUTIONAL DEVELOPMENT AND CAPACITY-BUILDING OF STAKEHOLDERS
Alongside the government, such civil society organi-
zations as NGOs, research and academic institutions,
professional organizations, mass media and businesses
should be extensively involved in improving the living
standards and status of older people. Such organizations’
involvement in developing and monitoring targeted pro-
grams will facilitate coverage of various spheres of older
people’s lives, making national policies more effective
and ensuring transparent and accountable programming.
By directly involving older people, NGO activities will
be more focused and targeted, while their effectiveness
will be easier to track.
It is vital to promote cooperation between the govern-
ment, NGOs and local communities, international organ-
izations, private sector and specialized institutions and
encourage more joint initiatives to help elderly people.
In this respect, international organizations may help by:
• including older people’s concerns in their strate-
gies and programs and helping to address them;
• improving ageing-related cooperation between
various international organizations and national
NGOs.
There is a clear need to set up a national advisory board
on ageing to promote cooperation between the govern-
ment, local authorities, NGOs, international organiza-
tions, private sector and local communities.
Ageing-related concerns affect the lives of a variety of
population groups and are not always considered priori-
ties to be addressed. Therefore, there should be public
debates on ageing in order to harmonize the interests of
all parties concerned. A grant program may be set up to
fund NGOs’ work in advocacy, service provision and the
promotion of social integration of the older generation.
6. PROMOTING THE ROLE OF FAMILIES
The government and the NGO sector should encour-
age and support older people to live with their families
through a variety of economic incentives such as re-
duced utility costs, public transportation and healthcare
benefi ts. As a mechanism to support families taking care
of their older members, it makes sense not to include
older members’ pensions in the aggregate household in-
come used to calculate targeted social benefi ts and aver-
age income per household member. This would lead to
improvement in older people’s living standards, reduce
their economic vulnerability and promote their role as
family members.
Another tool to improve elderly people’s living standards
is to improve access of households with older members
to credit resources and provide better terms of credit for
them. Such measures to support households economi-
cally and fi nancially where two or three generations live
together would improve both older people’s living stand-
ards and promote the role of families as a whole, enhanc-
ing inter-generational communication through economic
acknowledgement of the need for and importance of in-
ter-generational values.
Such economic incentives will promote the value of
each older person as an individual with unique life ex-
periences. Correspondingly, older people would be more
involved in raising their grandchildren, thus promoting
communication between older and younger generations
and helping to identify an optimum combination of na-
tional traditions and contemporary reality.
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Age-specifi c mortality rates – unlike total mortality
rates these defi ne the death rate for different age-specifi c
groups. If calculated for different age-specifi c groups
then the fi nal combination of indices will be too high to
be used as a criterion of the state of health.
Agreement for pension annuity – an insurance agree-
ment that states that an insurer (a pension recipient)
shall transfer to an insurance company an accumulative
pension amount while an insurance company shall pay
a pension to the insurer (pension recipient) during their
whole life or for certain periods.
Assets coeffi cient refl ects the ratio of average incomes
of the groups that are being compared within a range of
distribution in the tenth and fi rst decile group.
Average life expectancy at birth – average number of
years a newborn infant would live if prevailing patterns
of age-specifi c mortality rates at the time of birth were to
stay the same throughout the child’s life.
Average monthly assigned pension (benefi t) – the cor-
relation between the total monthly assigned pensions
(benefi ts) paid to all pensioners (pension recipients) that
are registered with labor and social protection authorities
and their number (at year end).
Competency – the capacity to integrate acquired knowl-
edge and skills to solve problems and matters in certain
circumstances.
Consumer price index (infl ation) – describes changes
over time in the general level of prices of goods and
services purchased by the population for personal con-
sumption. The consumer price index is calculated using
a database compiled from two sources: data on price
changes collected and registered at trade places specially
designated in this regard and in places where services are
rendered; documents stating the output of investigation
of a household, especially actual consumer expenses
borne by the population during the preceding year.
Creation of equal opportunities – a process in which
such general systems of society as physical and cul-
tural opportunities, accommodation and vehicles, social
services and healthcare, access to education and work,
cultural and social life including sport and recreation
become available to the whole population. A World Pro-
gram supporting the disabled.
Custodian bank – a bank that fi xes and records rights
for securities, custody of documentary securities and re-
cording of clients’ accounts.
Disability – any restriction or absence (as a result of a
defi ciency) of a capacity to carry out any activity in the
manner or within the framework that is deemed as ‘nor-
mal’ for a human being. Loss or restriction of a capacity
to take part in the life of society in the same manner as
others due to social and outside barriers.
Disabled person – a person who became disabled due
to physical, mental or sensory defi ciencies that can be
permanent or temporary, inherited or acquired. A person
offi cially defi ned as disabled in a document issued by
the relevant state authority to confi rm that he/she is disa-
bled.
Economically active population (workforce) – part of
population of working age. Includes all those actively
engaged in all kinds of economic activity, as well as un-
employed people.
Economically inactive population – persons not of
working age who are not engaged or unemployed during
the period concerned.
Electoral behavior – a combination of actions of na-
tionals at local, regional or nationwide elections and
their participation in referendums. Forms of electoral
behavior may include protest election, vote against all
candidates, conformist vote for a party or a leader who is
supported by the majority of the electorate etc.
Electorate – citizens able to vote at parliamentary, pres-
idential or municipal elections.
Emigrants – nationals of the Republic of Kazakhstan
who are leaving for another country for permanent resi-
dence.
Employed population – all people of a certain age who
can be defi ned as hired or independent workers
Ensuring equal opportunities – a process where dif-
ferent systems of a society and environment like labor
activity and information become available to the whole
population, especially to include the disabled. Includes
standard rules to ensure equal opportunities for the disa-
bled.
Expected educational output – the expected target of an
education process defi ned as specifi c education outputs:
knowledge, skills, competencies.
Formal education – a hierarchically structured educa-
tion system that mainly takes into account age-specifi c
stages of individuals’ development and that includes all
education levels from primary school to post-graduate
education.
Further education – an educating process that is ap-
plied at different levels of the education system in addi-
tion to masters programs to meet population’s needs.
Disease incidence – 1) a summary of new diseases
not registered anywhere before that were fi rst detected
among the population during the year concerned - to-
tal of fi rst detected disease incidence, based on statis-
tical documents with positive diagnosis confi rmed. 2)
the number of new cases of the disease among certain
groups during the period concerned.
Gross Domestic Product – an important indicator of
national accounts describing the fi nal output of the eco-
nomic activity of a country at production stage, defi ned
as the total gross value added of the sectors.
Healthcare – actions taken by legal entities and private
individuals in certain circumstances, in the order and on
the terms fi xed in the applicable law in favor of private
GLOSSARY
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individuals: preventive treatment, medical examination,
diagnostics, medical treatment and recovery (rehabilita-
tion) due to diseases or other health disorders, pregnancy
and childbirth;
Hired (paid) workers – persons employed under a hire
agreement that provides for payment (remuneration) in
the form of wage, premium, bonus etc. or by barter.
Immigrant – a foreigner or a person who is not a na-
tional who has moved to the Republic of Kazakhstan for
permanent or temporary residence.
Incapacity – loss or restriction of capacity to take part in
the life of society in the same manner as others.
Individual social code – a permanent individual code
given to a national and to persons entitled to pension
provision in accordance with this law.
Informal education – an education process based on
collection of information, knowledge and skills in eve-
ryday life e.g. communication, reading, visits to cultural
centers.
Informal education – a purposeful and systematic edu-
cation process conducted outside the formal education
system.
Investment income – money received from investment
in saving pension fund assets.
Labor migration – movement of persons from their
own country to another to fi nd work.
Life expectancy at birth – the average number of years
a person is expected to live on condition that the death
rate remains the same as in the year when the index was
defi ned.
Medical and social assessment - a process in which a
person is defi ned and accepted as disabled (determina-
tion of disability category) that is based on a complex
assessment of his/her health status, the extent of restric-
tion and need for social support.
Medical rehabilitation – a system of actions aimed at
prevention of development of pathological processes
that may lead to temporary or permanent loss of working
capacity and at quick and effi cient return of the sick and
disabled to work and society.
Migrants with nonregulated status – persons located
in a foreign country who do not fully comply with the
terms and requirements regarding entrance, residence or
economic activity established by the government of that
country.
Migration – permanent or temporary, voluntary or
mandatory mobilization of private individuals from one
country to another and within a country.
Migration network – a network of interpersonal rela-
tionships where migrants communicate with their fami-
lies and their countrymen living abroad. Network rela-
tionships cover information exchange, fi nancial support,
assistance in fi nding a job and other forms of support.
Non-governmental organizations (NGOs) – open
non-profi t public organizations that are not restricted by
profession peculiarities and do not strive for power in
governmental authorities.
Nongovernmental sector of social services – entities
rendering social services to disadvantaged groups, the
activity of which is based on ownership forms not related
to the state or municipal authorities and that may unite
private individuals engaged in private social activity.
Oralman immigration quota – number of oralman
families who are allowed to move to Kazakhstan and en-
titled to benefi ts and concessions in accordance with the
migration law of Kazakhstan.
Oralmans – foreigners or persons who are not nation-
als and who were permanent residents of other countries
when Kazakhstan was declared a sovereign country and
who moved to Kazakhstan for permanent residence.
Over-mortality (premature death) – from the point of
view of human development indices theory this term is
interpreted as mortality of the population below 85 years
old – the natural limit of a human longevity.
Pension savings – money of an contributor (recipient)
accumulating on his/her personal pension account that
includes voluntary pension contributions and voluntary
professional pension contributions, investment income,
penalties, miscellaneous payments to be made in accord-
ance with agreements, this Law and applicable laws of
the Republic of Kazakhstan.
Poverty – a socio-economic phenomenon where certain
groups are faced with obstacles when meeting their pri-
ority physiological needs related to fulfi llment of their
right for life and who have no opportunity to take part in
the life of society within the framework of rights fi xed in
the constitution.
Purchasing power parity (PPP) – number of national
currency units required to purchase a certain standard
combination of goods and services that can be purchased
with one unit in a baseline country. PPP for the goods
basket is determined by weighing of the PPP on each
good in this basket, taking into account expenses for cer-
tain goods used as balances.
Quantile population groups – division of the popu-
lation into equal parts regardless of other properties.
Decile and quintile division - 10 and 20% - groups are
most frequently referred to.
Real wage index – a relative indicator describing chang-
es in nominal wages taking into account price changes
during the reporting period in comparison with the base-
line period. It describes the purchasing capacity of the
nominal wage.
Re-emigration – movement of a person who, after hav-
ing returned to his/her country of departure, again emi-
grates.
Rehabilitation - a process to bring a person’s condition
after disease or injury as close as possible back to that
preceding the disease or injury.
Savings-based pension fund – a legal entity that col-
lects pension contributions and makes pension payments
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and that deals with management of pension assets in the
order established by the applicable law of the Republic
of Kazakhstan.
Self-employment – employment where the remunera-
tion rate depends directly on income from production
of goods and services (where personal consumption is
deemed as a part of the income). The international clas-
sifi cation of employment (employment status) defi nes
the following self-employed workers: employers, self-
employed workers, unpaid family workers, members of
manufaturers’ cooperatives.
Social care – a combination of social services, medi-
cal-social, social-economic, social-everyday, social-psy-
chological, social-educating and other kinds of support
to a person by state and nongovernmental authorities,
particularly in times of diffi culty.
Social protection of disabled people – a system of so-
cial and legal actions guaranteed by the government pro-
viding conditions for the disabled to overcome restric-
tions and aimed at creation of equal opportunities for the
disabled to take part in the life of society.
Social rehabilitation – a combination of programs and
actions aimed at the rehabilitation of social functions of
an individual and of his/her social and psychological sta-
tus in a society.
Social services – companies and entities regardless of
their ownership forms that render social-everyday, so-
cial-medical, psychological-educating, social-legal serv-
ices and social and fi nancial support.
Socialization – a person’s acquisition of social expe-
rience, including a system of social and political roles.
This process occurs in the family, kindergartens, schools,
labor and other teams. In socialization, such personal
properties like individuality and self-awareness are de-
veloped.
Special care – support provided by doctors in outpatient
departments and hospitals equipped to provide special
care.
Subsistence minimum – minimum income per person,
equal to the value of the minimum consumer basket.
Unemployment rate – percentage of the economically
active population out of work.
Voluntary pension scheme contributor – a private in-
dividual or a legal entity that at its own cost contributes
to pension funds in favor of a recipient in accordance
with an agreement for pension provision by voluntary
pension contributions.
Mandatory pension scheme contributor – a private
individual or a legal entity that has signed an agreement
for pension provision by mandatory pension contribu-
tions and that opened an individual pension account in a
savings pension fund.
In-country migration – temporary or permanent and
seasonal mobilization of private individuals in the Re-
public of Kazakhstan.
Volunteering – voluntary charitable activity aimed at
resolution of a range of social problems such as illitera-
cy, unemployment, hunger, homelessness.
Geriatric services – an integrated system of medical,
psychological and social-everyday support to the older
population.
Gerontology – a science studying the ageing process
and its separate aspects (physiological, psychological,
social, medical, hygienic and economic).
Grant – money allocated by a private fund or govern-
ment for fi nancial support of any activity corresponding
to the mission chosen by a grantee.
Clinical examination – a method of medical and pre-
ventive care of certain groups registered as those who
have to be examined, their observation at an early stage
of disease development, timely medical and preventive
actions to preserve their health, and environmental re-
covery.
Voluntary pension contributions – money paid volun-
tarily by contributors to saving pension funds in favor
of a recipient in the order stated in the applicable law of
the Republic of Kazakhstan and in accordance with an
agreement for pension provision by voluntary pension
contributions.
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ANNEXES
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ANNEX 1TECHNICAL NOTES
1. Integral human development indicators
In 1987 the UN Development Planning Committee decid-
ed to review the human cost of structural changes as a topic
for its report for 1988. The fi ndings of surveys conducted
as part of a report by a group of experts headed by M. Ul-Haka were part of a draft report “Human development:
the forgotten measurement of development strategy” by
K. Griffi n. Later, Griffi n, in cooperation with John Knight
published their works in a special edition of the Journal of
Development Planning102 in 1989 and re-published them
as a book in 1990103. This served as the foundation for a
conceptual approach to human development.
Theories by Amartya Sen (Sen A.), the Nobel prize win-
ner in economics, who published his “Development as
Capability Expansion”104 in 1989 had a powerful im-
pact on the contemporary concept of human develop-
ment. Sen did not consider development as improving
fi nancial or economic welfare, but rather as expansion
of human “capabilities”, i.e. ability to live a long and
healthy life, have access to knowledge, be able to be
more active, etc. At the same time, increased capability
was associated with greater choices. Thus, the human
development concept identifi ed human development
and greater choices rather than greater GNP as an eco-
nomic development target.
The conceptual approach to human development (also
translated as development of human potential) elabo-
rated by a group of UNDP experts was fi rst published
in the fi rst Global Human Development Report 1990105
where human development was defi ned as “expansion
of human choices and achieved welfare”. Income is
only one of such choices. Equally important are health,
education, environment and freedom of action and
speech. The report provided a new tool to measure so-
cio-economic progress: the human development index
(HDI) which combines life expectancy, adult level of
education and income.
This defi nition of human development pre-determines
a wide and complex set of statistical indicators allow-
ing assessment and review of human development. All
statistical indicators capturing human development
may be grouped as follows:
1. Integral indicators of general assessment of hu-
man development.
2. Basic indicators capturing the main components
of integral assessment of human development.
3. Other indicators capturing other dimensions of
human development.
102 Griffi n K. and Knight J. (eds). 1989. “Human Development in the 1980s
and Beyond.” In: Journal of Development Planning. No. 19 (Special
edition).
103 Griffi n K. and Knight J. (eds). 1990. “Human Development and the
International Development Strategy for the 1990s”. London: Macmillan.
104 Sen A. 1989. “Development as Capability Expansion.” In: Journal of
Development Planning. No.19.
105 UNDP. 1990. Human Development Report 1990. New York: Oxford
University Press.
2. Basic and integral human development indicators
Basic human development indicators capture three
main dimensions of human development, which are
longevity, education and living standards. Each of these
human development dimensions captures a number of
important human capabilities. Thus, longevity means
capability to live a long and healthy life, education
– to acquire knowledge, communicate and participate
in public life, living standards – to have access to re-
sources required for a decent living, live a healthy life,
be territorially and socially mobile, participate in pub-
lic life, etc.
A set of indicators calculated on a regular basis and
comparable across nearly all countries of the world is
used to measure these three human development com-
ponents. An increase in the value of basic indicators
suggests better capabilities in the respective human de-
velopment dimension.
Indicators capturing longevity. Live expectancy at birth is used to measure longevity. A shorter term is
often used – life expectancy. It is one of the most com-
mon indicators in international statistics, which is cal-
culated based on so-called “mortality rates”.
Life expectancy at birth – the number of years a new-
born would live, provided death rates for each age re-
main the same as in the birth year throughout the entire
life of the newborn.
These indicators can be both gender-aggregated and
gender-disaggregated.
In addition, proportions of the population not surviving to a certain age are used to calculate the human pov-
erty indices and to capture deprivation in the ability to
live a long and healthy life.
The under-fi ve mortality rate and maternal mortality rate are additionally used for developing and devel-
oped countries respectively.
Indicators capturing education
Education is measured by the literacy rate among the
15+ population and the enrolment ratio.
Literacy is the ability to both read and write, with un-
derstanding, a short statement related to the person’s
everyday life.
For developing countries, literacy is the most signifi -
cant indicator of education. Therefore, it is given twice
the weighting as the enrolment ratio when calculating
the HDI.
Global Human Development Reports before 1995
used, instead of the enrolment ratio, average duration of learning calculated for the population aged 25 and
more. Since the 1995 Report, however, this indicator
was replaced by the enrolment ratio.
The enrolment ratio is the number of students enrolled
in primary, secondary and tertiary levels of education,
as a percentage of the population aged 5-24.
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It should be remembered that different levels of educa-
tion impact human capabilities differently. Therefore,
Anand and Sen suggested complementing the common
education indicators with those specifi c for individual
levels of education, so as to use enrolment in secondary and tertiary education for developing and developed
countries respectively.
Indicators capturing living standards
Unlike the previous two dimensions, this human de-velopment dimension only identifi es human capabilities
rather than determining their use. This means that it is
only a means of enlarging the capability to choose but
not the choice as such.
The high-quality assessment of the living standards
should include many factors determining development
and fulfi llment of human capabilities, such as personal
income, income distribution between different popula-
tion groups, accrued property, access to land and credit
resources, infrastructure and access to public commod-
ities such as healthcare, education, transport, utilities,
etc., individual lifestyles, family size and composition,
commodities produced by households, environmental
and climatic conditions etc.
Since it is diffi cult to select a direct indicator, an in-direct indicator – Gross Domestic Product (GDP) per capita – is used to assess fi nancial welfare. For inter-
country comparisons, GDP per capita should be con-
verted into real GDP per capita in USD using purchas-
ing parity power (PPP) of national currency relative to
US dollars.
PPP is understood to be the number of national cur-
rency units required to purchase an identical basket of
goods and services that can be bought for US$1 in the
USA.
Countries comprising different groups depending on
their level of economic development can be compared
using complementary indicators, allowing to more ob-
jectively differentiate countries within one group de-
pending on their fi nancial welfare. Thus, for the least
developed countries real GDP per capita is a relatively
adequate tool to capture access to resources required
for a decent living. For developing countries, it makes
sense to complement it with the proportion of people with income below the poverty line, which captures
poverty incidence, which is more common for the less
developed countries. For developed countries, these
two indicators should be complemented with income inequality indicator106:
Y = (1 – G) * Yr,
where G – Gini coeffi cient;
Yr – real GDP per capita.
When countries have the same real GDP per capita, the
Gini coeffi cient allows differentiation of countries by
living standards.
106 Anand S., Sen A. Human Development Index: Methodology and
Measurement // Background Paper for Human Development Report 1993.
- New York: UNDP, 1992.
3. The Human Development Index (HDI)
The Human Development Index is calculated as an arith-
metic average value of three other indices: life expect-
ancy, education and GDP. The education index is calcu-
lated using the indices of literacy (two thirds weighting)
and access to education (one third).
Four indicators are used to calculate these indices. The accept-
ed ranges of these indicators lie within the following limits:
IndicatorMini-mum value
Maxi-mum value
Life expectancy at birth, years 25 85
Adult literacy rate, % 0 100
Combined gross enrolment ratio, % 0 100
GDP per capita, PPP USD 100 40000
Based on these indicators, the following formula is used
to calculate all indices apart from the GDP index:
actual value of хi – minimum value of хi
I = _________________________________________
maximum value of хi – minimum value of хi
When building the GDP index, a different formula is
used. The formula uses a decimal logarithm of GDP per
capita in numerator and denominator:
log10 (actual value of хi) – log10 (minimum value хi)
I = __________________________________________
log10 (maximum value of хi) – log10 (minimum value of хi)
Kazakhstan, which had the following main indicators in
2004, can be used to illustrate the calculation of the hu-
man development index:
Indicator Value
Life expectancy at birth, years 66,2
Adult literacy rate, % 99,5
Combined gross enrolment ratio, % 84
GDP per capita, PPP USD 7260
Hence, according to the above formula, the life expect-
ancy index will be 0.682:
(66.2 - 25) / (85 - 25) = 41.2 / 60 = 0.687.
The adult literacy index will be 0.995:
(99.5 - 0) / (100 - 0) = 0.995.
The overall education index will be 0.943, when the en-
rolment ratio is used worth 84%:
(0.995 * 2 + 0.840) / 3 = 0.943.
If calculated by the above formula the GDP index will be:
(log(7260)-log(100)) / (log(40000) – log(100)) =
= (8.890-4.605) / (10.597-4.605) = 4.285/5.991 = 0.715
The human development index based on these three in-
dices will be 0.782:
(0.687 + 0.943 + 0.715) / 3 = 0.782.
4. The Gender-related Development Index (GDI)
The gender-related development index uses the same in-
dicators as the HDI. They differ in that for GDI average
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values of each country’s indices (life expectancy, educa-
tion and GDP) are adjusted by the gap between male and
female attainment. In order to make this adjustment, a
weighting formula is used. This formula is based on the
quality of the average power function to depend on the
exponent of the mean (majority median rule).
S. Anand and A. Sen suggested the following formula to
calculate gender-adjusted indices107:
I = [df × If 1-и + dm × Im 1-и ]1/(1-и) ,
where df and dm are, respectively, proportions of women
and men in the overall population;
If and Im are indices relative for women and men;
(1-и) is the exponent of the average.
When different values of и (exponent of the 1-и mean)
are used, different types of median emerge:
и = 0 – arithmetic median;
и = 1 – geometric median;
и = 2 – harmonic median, etc.
The more the accepted exponent differs from the expo-
nent of arithmetic median, the more signifi cantly this
affects the reduction of the average indicator. All Glo-
bal Human Development Reports use the parameter of
weighting и fi xed at 2 (“moderate deviation toward in-
equality”). The result is a harmonious middling of indi-
cators of female and male attainment.
The GDI is also corrected in terms of maximum and
minimum life expectancies considering that women gen-
erally live longer than men. Thus, maximum female life
expectancy is fi xed at 87.5 years and minimum at 27.5
years, for males 82.5 and 22.5 years respectively.
The equally-distributed life expectancy index (using the pa-
rameter of weighting и = 2) is calculated by the formula:
where df and dm are, respectively, proportions of women
and men in the overall population;
Ifl e and Imle are female and male life expectancy indices.
The equally-distributed education and income indices
are calculated similarly. The summary human develop-
ment index adjusted for gender is an arithmetic mean of
the three equally distributed indices.
Calculation of an income index adjusted for gender is
more complicated. It is expected that incomes generated
in the country are distributed between men and women
in proportion to their wages. Two types of data are used
when the proportion of women and men with earned in-
come are calculated: ratio of average wages of women
to average wages of men and percentages of women
and men in the economically active population aged 15
and older. When data about the ratio of average wages
107 Anand S., Sen A. Human Development Index: Methodology and
Measurement // Background Paper for Human Development Report 1993.
- New York: UNDP, 1992.
of women and men are not available, a weighted mean
ratio of 75% for all countries that have data on wages is
used.
The proportion of wages for females (Sf) is calculated
by the formula:
Sf = deaf × Iisf /(deaf × Iisf + deam),
where deaf and deam are the proportions of women and
men in the total economically active population;
Iisf is the index of the average female wages relative to
average male wages.
Taking into account the age and gender composition of
the population we can calculate incomes (GDP) per one
woman and one man:
GDPf = GDP × Sf / df ,
GDPm = GDP × (1-Sf) / dm,
where GDP, GDPf, GDPm are GDP per capita, per one
woman and one man.
5. The Gender Empowerment Measure (GEM)
The gender empowerment measure (GEM) is built on
indicators calculated specifi cally to measure the rela-
tive political and economic participation of women and
men.
The fi rst two indicators are used to capture economic
participation and decision-making power through wom-
en’s and men’s percentages of positions as senior of-
fi cials and managers and women’s and men’s percent-
ages of professional and technical positions. Since the
proportions of positions of each of these categories are
different in the overall population, indices are calculated
individually for each category and then summed.
The third indicator, which is women’s and men’s percent-
ages of parliamentary seats, has been selected to capture
political participation and decision-making power.
For each of these three dimensions, an equally distrib-
uted equivalent percentage (EDEP) is calculated, as a
population-weighted average, according to the follow-
ing general formula:
where df and dm are, respectively, female and male
population shares;
dfi and dmi are, respectively, earned incomes of women
and men by each of the three indicators.
Then these indicators are indexed by dividing the EDEP
by 50 %.
The income index is used as an indicator capturing the abil-
ity to manage economic resources. This index is calculated
using the GDI methodology. The income index can be PPP
US$40,000 maximum and PPP US$10,000.
Finally, equally weighted indices for each of these di-
mensions - economic participation and decision-making
power, political participation and decision-making pow-
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er and the ability to manage economic resources – give
the combined GEM.
6. The Human Poverty Index (HPI)
Depending on the socio-economic conditions of individual
countries, different indicators can be included in the Human
Poverty Index (HPI). In the Global Human Development
Report for 1997 the Human Poverty Index suggested for de-
veloping countries (HPI-1) refl ects all three dimensions of
human life that are included in the HDI – namely a long and
healthy life, knowledge and a decent standard of living:
HPI-1 = [1/3(P1и + P2
и + P3и )]и ,
where P1 – percentage of population not surviving to age
40,
P2 – adult literacy rate,
P3 – average of population without sustainable access to
safe water and healthcare and under-fi ve children under-
weight for their age.
Considering the completely different social and economic
conditions in developed industrial countries, UNDP in its
Global Human Development Report 1999, suggested a dif-
ferent formula to measure poverty (HPI-2) of the popula-
tions in these countries:
HPI-2 = [1/4(P1и + P2
и + P3и + P4
и )]и ,
where P1 – percentage of population not surviving to age
60,
P2 – percentage of adults lacking functional literacy
skills,
P3 – percentage of population with income below 50% of
median adjusted income in the country, i.e. income in the
middle of the income distribution line,
P4 – percentage of the economically active population
unemployed for 12 months or more.
The following formula for calculation of HPI has been
adopted (as of National Human Development Report
1999) for Kazakhstan:
HPI = [1/4(P1и + P2
и + P3и + P4
и )]и ,
where P1 – percentage of population not surviving to age
60,
P2 – percentage of young people aged 16 not enrolled in
schooling,
P3 – percentage of population with income below the
subsistence minimum,
P4 – unemployment rate.
Illustrating using calculation of Kazakhstan’s HPI
for 2003. The baseline data are P1 = 30.3%, P2 = 3%,
P3 = 19.8%, P4 = 8.8%.
Using the above formula, Kazakhstan’s HPI for 2003
will be 20.9%, which suggests that over one fi fth of the
country’s population is disadvantaged (deprived in terms
of human development) by the selected four indicators.
7. Kazakhstan’s HDI by region
The human development index can be improved if dis-
aggregated. The overall index of a country can mask the
fact that different groups of the country’s population may
have different levels of human development whether by
region, gender or settlement (urban or rural).
When calculating regional HDI, the main problem is the
choice of an indicator most adequately refl ecting access
of the population to resources. At the country level, GDP
per capita serves this purpose according to the UNDP
methodology. Gross Regional Product (GRP) calculated
by the manufacturing method is used instead of GDP for
regional HDIs. Use of this indicator when computing the
HDI is the most vulnerable point in regional HDI meas-
urement methodology since high proportions of export-
oriented sectors in GDP may produce a picture of token
economic welfare of the region’s population.
Taking into account critiques about using per capita GRP
as an indicator describing the population’s access to re-
sources for decent living standards, the GDP index has
also been used when gathering data and calculating re-
gional HDIs for national human development reports.
It should be noted that per capita GRP and the national level
of monetary incomes differed by 2.9 – 3.5 times in 1993-
2003 for three main reasons. Firstly, monetary incomes of
the surveyed households contain a systemic mistake con-
nected to their underestimation: macro level underestima-
tion ranged from one fourth to one third of declared mon-
etary incomes. Secondly, GRP contains in-kind incomes of
the population accounting for up to a quarter of monetary
incomes and cost estimates of individual commodities that
households already own. These include, for example, the
relative cost of living in owned housing. Thirdly, in terms
of consumptive use, GRP includes incomes used both for
consumption and savings. In addition, it is worth noting
that summary GYP by oblasts (GRP) does not equal GDP
relative to GYP when not distributed by regions.
Exchange of per capita monetary incomes into USD at PPP
will lead to underestimation of access to resources. There-
fore, to ensure that the results are the same at the national
level per capita, monetary incomes exchanged into USD
through PPP are multiplied by a coeffi cient equal to the ra-
tio of per capita GDP to per capita monetary incomes. This
coeffi cient is used to correct regional per capita monetary
incomes, which results in regional monetary incomes of the
population coinciding with the national average.
8. Kazakhstan’s HDI by settlement (urban/rural)
Baseline indicators broken down by urban/rural area should
be available in order to calculate the HDI by settlement. De-
spite some diffi culties, all indicators, apart from GDP per
capita, are now calculated with an urban/rural breakdown.
In order to differentiate between rural and urban GDP,
national human development reports have employed the
methodology used to calculate gender-disaggregated GDP.
Therefore, earned income is distributed between men and
women in proportion to their respective wages in order to
calculate gender-related GDP, while urban/rural income
per capita is used to calculate urban/rural GDP.
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ANNEX 2STATISTICAL ANNEXES
Table 1.1. Proportion of population not surviving to age 60, by oblast, 1998-2004
Region 1998 1999 2000 2001 2002 2003 2004Akmola oblast including Astana City 34,5 30,6 30,3 31,6 30,3 30,3 30,4
Akmola oblast 35,8 32,0 33,1 35,4 33,7 35,7 35,1
Aktobe oblast 34,0 30,8 34,3 34,8 34,6 33,6 32,2
Almaty oblast 29,2 28,0 28,2 27,5 27,0 28,0 28,2
Atyrau oblast 34,1 33,6 33,2 32,2 33,6 30,9 30,0
East Kazakhstan oblast 36,8 31,6 33,4 31,9 32,1 31,8 32,0
Zhambyl oblast 30,5 27,4 30,3 28,9 27,9 29,3 28,2
West Kazakhstan oblast 33,7 30,9 32,0 32,2 33,0 32,8 30,0
Karagandy oblast 37,8 33,3 33,2 33,8 33,9 35,3 36,1Kostanai oblast 32,8 31,0 31,6 30,7 30,2 31,7 31,8
Kyzylorda oblast 30,8 28,6 27,5 27,5 28,2 26,7 26,0
Manghistau oblast 34,0 31,0 31,1 33,8 32,6 30,2 29,7
Pavlodar oblast 35,0 30,2 31,2 31,6 30,6 30,4 30,7
North Kazakhstan oblast 35,0 31,6 32,3 32,4 33,0 33,3 33,2
South Kazakhstan oblast 29,2 26,1 26,2 26,1 26,7 26,5 25,9
Astana City 31,1 27,4 24,9 25,3 25,1 22,4 23,6Almaty City 27,5 27,0 27,1 26,0 25,2 26,5 28,5
KAZAKHSTAN 33,0 29,9 30,5 30,3 30,1 30,3 30,3Source: calculated by the author using data of the RK Statistics Agency.Note: The highest value in each year is highlighted in bold, while the lowest is in bold italics.
Table 1.2. Proportion of 16-year-olds not enrolled in education, 1998-2004
Region 1998 1999 2000 2001 2002 2003 2004Akmola oblast including Astana City 13,6 12,2 13,7 15,8 7,2 5,5 7,1
Akmola oblast 15,5 13,6 4,1 7,7 6,2 9,2 12,0Aktobe oblast 9,2 6,1 7,2 5,2 0,0 0,0 2,7
Almaty oblast 13,7 10,0 14,8 15,5 10,8 7,4 7,5
Atyrau oblast 6,5 7,0 6,2 5,4 0,0 0,0 0,2
East Kazakhstan oblast 10,7 5,0 8,1 9,0 7,3 3,0 4,2
Zhambyl oblast 9,6 14,0 17,5 14,7 8,7 4,7 7,0
West Kazakhstan oblast 12,0 4,0 0,0 5,4 0,0 0,0 0,0Karagandy oblast 11,7 5,5 10,7 10,8 3,6 0,1 3,2
Kostanai oblast 6,3 7,0 14,2 12,0 11,0 10,1 7,4
Kyzylorda oblast 16,2 8,0 12,4 14,0 0,0 4,5 1,5
Manghistau oblast 8,7 6,0 0,2 5,0 0,0 0,0 0,0Pavlodar oblast 11,4 7,0 11,3 14,0 2,4 1,6 1,7
North Kazakhstan oblast 14,4 4,0 7,0 6,1 3,5 2,7 5,3
South Kazakhstan oblast 8,4 9,0 8,9 11,7 1,8 0,8 0,0
Astana City 8,5 9,0 32,1 29,0 8,7 0,0 0,0Almaty City 4,9 4,0 0,0 0,0 0,0 0,0 0,0KAZAKHSTAN 10,8 11,6 9,8 10,6 4,5 3,0 1,1
Source: calculated by the author using data of the RK Statistics Agency.Note: The highest value in each year is highlighted in bold, while the lowest is in bold italics.
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Table 1.3. Proportion of population with income spent on consumption below the subsistence minimum, 1999-2004
Region 1999 2000 2001 2002 2003 2004Akmola oblast including Astana City 29,8 23,0 13,9 12,1 10,6 8,8
Akmola oblast 35,4 28,9 21,0 18,6 16,4 14,0
Aktobe oblast 24,3 18,3 29,8 22,6 19,0 14,3
Almaty oblast 44,2 46,2 39,3 36,3 25,3 15,2
Atyrau oblast 50,1 49,6 40,7 34,1 32,7 29,1East Kazakhstan oblast 17,3 15,4 21,1 20,0 16,9 14,9
Zhambyl oblast 45,7 47,7 48,2 35,8 30,0 18,3
West Kazakhstan oblast 28,9 12,0 27,3 28,0 17,1 14,4
Karagandy oblast 18,4 18,6 22,8 19,3 15,1 13,5
Kostanai oblast 21,7 22,3 25,5 22,3 21,0 19,0
Kyzylorda oblast 55,0 51,6 39,5 32,3 27,1 26,5
Manghistau oblast 37,9 59,7 45,9 39,8 26,0 21,0
Pavlodar oblast 48,0 14,9 16,6 21,6 17,1 14,5
North Kazakhstan oblast 27,2 11,9 10,0 14,3 11,9 12,0
South Kazakhstan oblast 55,5 52,8 39,2 27,5 26,1 23,0
Astana City 15,1 11,6 2,2 2,2 2,1 1,1Almaty City 13,7 4,8 4,9 4,1 3,9 2,8
KAZAKHSTAN 34,5 31,8 28,4 24,2 19,8 16,1Source: calculated by the author using data of the RK Statistics Agency.Note: The highest value in each region is highlighted in bold, while the lowest is in bold italics.
Table 1.4. Trends in unemployment rate (at year end), 1999-2004
Region 1999 2000 2001 2002 2003 2004Akmola oblast including Astana City 14,2 12,6 10,2 9,0 8,9 8,8
Akmola oblast 14,7 12,6 10,8 9,2 9,2 9,2
Aktobe oblast 13,7 13,3 11,4 10,2 9,7 9,4
Almaty oblast 14,2 14,1 10,2 9,2 8,6 7,8
Atyrau oblast 15,1 15,5 13,5 10,7 9,5 9,3
East Kazakhstan oblast 8,5 8,2 7,3 7,3 7,3 7,2Zhambyl oblast 14,6 14,4 12,7 12,3 11,1 10,2West Kazakhstan oblast 7,8 7,8 12,5 10,0 9,3 9,2
Karagandy oblast 14,3 13,5 9,2 8,3 7,5 7,4
Kostanai oblast 15,8 13,1 10,3 9,3 8,7 8,5
Kyzylorda oblast 16,1 14,5 13,9 12,5 11,4 10,2Manghistau oblast 13,2 13,7 10,5 9,8 9,7 9,8
Pavlodar oblast 13,4 13,8 9,2 8,7 8,2 7,7
North Kazakhstan oblast 14,6 12,8 8,9 8,0 8,0 8,1
South Kazakhstan oblast 14,1 14,3 11,5 9,4 8,6 7,8
Astana City 13,0 12,5 9,3 8,7 8,4 8,3
Almaty City 14,0 12,1 10,8 9,6 8,9 8,8
KAZAKHSTAN 13,5 12,8 10,4 9,3 8,8 8,4Source: calculated by the author using data of the RK Statistics Agency.Note: The highest value in each year is highlighted in bold, while the lowest is in bold italics.
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Table 1.5. Trends in Human Poverty Index, 1999-2004
Region 1999 2000 2001 2002 2003 2004Akmola oblast including Astana City 24,6 22,3 21,4 19,7 19,6 19,6
Akmola oblast 27,5 25,0 24,0 22,5 23,4 23,0
Aktobe oblast 22,6 23,1 26,0 23,8 22,5 21,0
Almaty oblast 30,4 31,7 27,8 25,9 21,4 18,9
Atyrau oblast 34,7 34,4 29,6 27,0 25,4 23,6
East Kazakhstan oblast 21,1 21,9 22,1 21,9 21,1 20,9
Zhambyl oblast 31,2 33,1 32,8 26,0 23,8 19,6
West Kazakhstan oblast 23,8 20,6 24,1 24,5 21,7 19,7
Karagandy oblast 22,6 22,7 23,6 22,7 22,9 23,2
Kostanai oblast 22,3 22,9 23,0 21,7 22,0 21,6
Kyzylorda oblast 36,5 34,4 28,0 24,4 21,6 21,0
Manghistau oblast 27,9 39,4 32,4 29,1 22,6 20,9
Pavlodar oblast 32,8 21,1 21,5 21,4 20,3 20,1
North Kazakhstan oblast 23,9 21,1 20,8 21,4 21,4 21,4
South Kazakhstan oblast 36,4 34,8 27,3 21,7 21,0 19,6
Astana City 18,9 23,5 21,8 16,2 14,4 15,1
Almaty City 18,4 17,6 16,8 16,2 16,9 18,1
KAZAKHSTAN 26,2 25,1 23,7 22,0 20,9 20,1Source: calculated by the author using data of the RK Statistics Agency.Note: The highest value in each year is highlighted in bold, while the lowest is in bold italics.
Table 1.6. Sex and age specifi c breakdown of household members by income spent on consumption in 2004*
All household members
Population with income spent on consumption
Men with income spent on consumption
Women with income spent on consumption
below the subsistence minimum
(poor)
above the subsistence minimum (not poor)
below the subsistence minimum
(poor)
above the subsistence minimum (not poor)
below the subsistence minimum
(poor)
above the subsistence minimum (not poor)
Total 100,0 100,0 100,0 100,0 100,0 100,0 100,0
Including
0-14 22,9 33,1 19,0 34,7 22,1 31,8 16,7
15-19 11,5 13,0 10,9 13,4 12,4 12,6 9,7
20-24 7,2 7,4 7,1 7,8 8,2 7,1 6,1
25-29 6,1 6,0 6,1 6,2 6,5 5,9 5,8
30-34 6,5 6,7 6,4 6,5 6,5 7,0 6,3
35-39 7,0 7,9 6,7 7,2 6,5 8,4 6,8
40-44 8,7 7,9 9,0 8,2 8,5 7,6 9,4
45-49 7,7 5,4 8,6 5,7 8,0 5,1 9,0
50-54 6,1 3,7 7,0 3,4 6,5 4,0 7,5
55-59 4,2 2,3 4,9 2,1 4,3 2,4 5,4
60-64 3,2 1,8 3,8 1,5 3,1 2,0 4,3
65 + 8,9 4,8 10,5 3,3 7,4 6,1 13,0
Source: Living Standards in Kazakhstan. Statistical digest. Almaty, 2005. – 174 p. – pp.72-73. * without equivalence scales
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Table 1.7. Trends in HDIs of Kazakhstan and its regions based on GRP per capita, 1990-2004
Region 1990 1991 1992 1993 1994 1995 1996 1997Akmola oblast including Astana City 0,762 0,765 0,748 0,755 0,733 0,706 0,701 0,704
Akmola oblast … … … … … … … 0,696
Aktobe oblast 0,793 0,784 0,772 0,766 0,750 0,734 0,729 0,738
Almaty oblast 0,764 0,751 0,741 0,718 0,706 0,693 0,712 0,713
Atyrau oblast 0,773 0,762 0,765 0,733 0,760 0,766 0,776 0,781
East Kazakhstan oblast 0,773 0,764 0,760 0,739 0,731 0,723 0,716 0,720
Zhambyl oblast 0,763 0,742 0,748 0,707 0,686 0,664 0,695 0,685West Kazakhstan oblast 0,786 0,775 0,751 0,745 0,721 0,703 0,699 0,726
Karagandy oblast 0,774 0,770 0,781 0,758 0,752 0,744 0,723 0,729
Kostanai oblast 0,803 0,788 0,805 0,793 0,768 0,729 0,728 0,746
Kyzylorda oblast 0,749 0,731 0,737 0,712 0,707 0,695 0,711 0,710
Manghistau oblast 0,771 0,777 0,785 0,702 0,758 0,777 0,785 0,769
Pavlodar oblast 0,777 0,777 0,787 0,774 0,764 0,755 0,754 0,737
North Kazakhstan oblast 0,793 0,800 0,780 0,746 0,748 0,744 0,750 0,734
South Kazakhstan oblast 0,765 0,758 0,746 0,719 0,700 0,676 0,699 0,703
Astana City … … … … … … … 0,724
Almaty City 0,802 0,791 0,770 0,782 0,769 0,767 0,802 0,821KAZAKHSTAN 0,776 0,769 0,766 0,748 0,738 0,726 0,732 0,735
Table 1.7 continued
Region 1998 1999 2000 2001 2002 2003 2004Akmola oblast including Astana City 0,715 0,737 0,740 0,747 0,762 0,777 0,785
Akmola oblast 0,692 0,715 0,708 0,715 0,725 0,722 0,731
Aktobe oblast 0,746 0,747 0,742 0,751 0,763 0,773 0,793
Almaty oblast 0,707 0,700 0,696 0,710 0,715 0,715 0,720
Atyrau oblast 0,777 0,785 0,813 0,825 0,837 0,853 0,866
East Kazakhstan oblast 0,730 0,737 0,729 0,738 0,742 0,745 0,755
Zhambyl oblast 0,684 0,684 0,676 0,687 0,699 0,708 0,721West Kazakhstan oblast 0,728 0,739 0,754 0,764 0,775 0,780 0,799
Karagandy oblast 0,729 0,745 0,748 0,754 0,760 0,765 0,773
Kostanai oblast 0,736 0,734 0,731 0,739 0,743 0,748 0,757
Kyzylorda oblast 0,699 0,699 0,710 0,721 0,742 0,752 0,770
Manghistau oblast 0,768 0,780 0,793 0,795 0,811 0,823 0,837
Pavlodar oblast 0,755 0,745 0,751 0,763 0,771 0,780 0,793
North Kazakhstan oblast 0,710 0,719 0,706 0,725 0,723 0,723 0,733
South Kazakhstan oblast 0,699 0,706 0,713 0,724 0,728 0,730 0,737
Astana City 0,757 0,773 0,782 0,786 0,807 0,831 0,840
Almaty City 0,823 0,828 0,821 0,839 0,850 0,852 0,849KAZAKHSTAN 0,736 0,742 0,743 0,754 0,765 0,772 0,782
Source: calculated by the author using data of the RK Statistics Agency and GRP per capita at the regional level. Note: The highest value in each year is highlighted in bold, while the lowest is in bold italics.
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Table 1.8. Trends in GDP (GRP) per capita in Kazakhstan and its regions, 1990-2004, USD at PPP
Region 1990 1991 1992 1993 1994 1995 1996 1997Akmola oblast including Astana City 4849 5388 4022 5885 4577 3419 3061 3026
Akmola oblast 0 0 0 0 0 0 0 2698
Aktobe oblast 7750 6903 5593 6475 5652 5077 4204 4995
Almaty oblast 5238 4355 3680 3091 2560 2263 2919 2767
Atyrau oblast 7224 6139 6536 4732 8558 9987 11096 11431East Kazakhstan oblast 6480 5680 5380 4734 4656 5063 4394 4539
Zhambyl oblast 5825 4188 4681 2890 2010 1557 2501 2049West Kazakhstan oblast 7095 6045 4001 4596 3611 2962 2693 3856
Karagandy oblast 6368 6153 7659 6542 6710 7444 5257 5489
Kostanai oblast 9121 7248 9943 10309 7086 4320 4019 5380
Kyzylorda oblast 4270 3137 3544 2900 2727 2662 3155 3016
Manghistau oblast 6337 7415 8753 2481 7373 11894 13571 9838
Pavlodar oblast 6618 7004 8490 8623 8457 8489 7377 5115
North Kazakhstan oblast 8185 9672 6864 4759 5116 5790 6404 4689
South Kazakhstan oblast 4620 4266 3447 2722 2002 1574 2304 2194
Astana City 0 0 0 0 0 0 0 4041
Almaty City 6601 5644 3929 6182 5185 5188 9369 10327
KAZAKHSTAN 6283 5756 5561 5204 4711 4508 4682 4628
Table 1.8 continued
Region 1998 1999 2000 2001 2002 2003 2004Akmola oblast including Astana City 3372 4541 4590 5480 6477 7584 8100
Akmola oblast 2331 3134 2732 3324 3482 3660 4190
Aktobe oblast 5108 4391 4505 5207 6161 7073 8734
Almaty oblast 2381 2073 2036 2488 2681 2829 3037
Atyrau oblast 9120 10207 15348 17398 21449 26451 30467East Kazakhstan oblast 4755 4437 4050 4416 4507 4698 5341
Zhambyl oblast 1784 1551 1473 1610 1850 2273 2522West Kazakhstan oblast 3712 4103 5190 6338 7206 7835 9274
Karagandy oblast 5178 5347 5447 5766 6038 6699 7550
Kostanai oblast 4621 4349 4247 4461 4631 5167 5814
Kyzylorda oblast 2486 2084 2489 2923 3911 4608 5849
Manghistau oblast 7388 8813 11077 11793 14703 14253 17479
Pavlodar oblast 6500 4831 5530 6429 6552 7526 8864
North Kazakhstan oblast 3268 3234 2597 3539 3488 3612 4220
South Kazakhstan oblast 1916 1942 2211 2619 2632 2735 2780
Astana City 6207 7777 8155 9017 11002 13387 13835
Almaty City 10448 10024 9115 11771 13843 15144 14861
KAZAKHSTAN 4379 4293 4487 5219 5862 6532 7260Source: calculated by the author using data of the RK Statistics Agency and GRP per capita at the regional level..Note: The highest value in each year is highlighted in bold, while the lowest is in bold italics.
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Table 1.9. Trends in national and regional HDIs based on income spent on consumption, per capita, Kazakhstan, 1993-2004
Region 1993 1994 1995 1996 1997 1998Akmola oblast including Astana City 0,759 0,731 0,717 0,718 0,733 0,740
Akmola oblast … … … … … …
Aktobe oblast 0,744 0,732 0,723 0,729 0,721 0,724
Almaty oblast 0,726 0,716 0,700 0,708 0,710 0,709Atyrau oblast 0,724 0,723 0,717 0,723 0,730 0,739
East Kazakhstan oblast 0,749 0,733 0,717 0,720 0,728 0,737
Zhambyl oblast 0,720 0,717 0,711 0,718 0,707 0,716
West Kazakhstan oblast 0,747 0,726 0,715 0,714 0,721 0,725
Karagandy oblast 0,771 0,759 0,740 0,738 0,741 0,736
Kostanai oblast 0,764 0,740 0,731 0,730 0,743 0,735
Kyzylorda oblast 0,736 0,724 0,706 0,737 0,744 0,740
Manghistau oblast 0,750 0,739 0,743 0,740 0,745 0,763
Pavlodar oblast 0,753 0,738 0,728 0,734 0,736 0,737
North Kazakhstan oblast 0,750 0,734 0,719 0,732 0,728 0,710
South Kazakhstan oblast 0,723 0,710 0,697 0,708 0,715 0,715
Astana City … … … … … 0,779
Almaty City 0,806 0,799 0,792 0,794 0,812 0,813KAZAKHSTAN 0,748 0,738 0,726 0,732 0,735 0,736
Table 1.9 continued
Region 1999 2000 2001 2002 2003 2004Akmola oblast including Astana City 0,731 0,747 0,765 0,778 0,790 0,798
Akmola oblast 0,708 0,737 0,745 0,758 0,758 0,763
Aktobe oblast 0,734 0,746 0,757 0,771 0,780 0,792
Almaty oblast 0,710 0,724 0,737 0,746 0,752 0,764
Atyrau oblast 0,743 0,744 0,757 0,768 0,774 0,785
East Kazakhstan oblast 0,745 0,742 0,754 0,763 0,768 0,777
Zhambyl oblast 0,726 0,715 0,723 0,742 0,744 0,764
West Kazakhstan oblast 0,734 0,742 0,748 0,761 0,773 0,787
Karagandy oblast 0,750 0,745 0,755 0,767 0,770 0,778
Kostanai oblast 0,734 0,738 0,749 0,755 0,756 0,764
Kyzylorda oblast 0,744 0,726 0,731 0,742 0,755 0,763
Manghistau oblast 0,750 0,741 0,754 0,767 0,787 0,798
Pavlodar oblast 0,744 0,748 0,760 0,763 0,774 0,784North Kazakhstan oblast 0,723 0,745 0,760 0,754 0,759 0,762
South Kazakhstan oblast 0,724 0,733 0,739 0,751 0,755 0,769
Astana City 0,768 0,768 0,794 0,812 0,831 0,842Almaty City 0,813 0,803 0,821 0,829 0,829 0,830
KAZAKHSTAN 0,742 0,743 0,754 0,765 0,772 0,782Source: calculated by the author using data of the RK Statistics Agency and GRP per capita at the regional level.Note: The highest value in each year is highlighted in bold, while the lowest is in bold italics.
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Table 1.10. Trends in national and regional income spent on consumption, per capita, Kazakhstan, 1993-2004
Region 1993 1994 1995 1996 1997 1998Akmola oblast including Astana City 6313 4412 4105 4121 5085 5319
Akmola oblast 0 0 0 0 0 0
Aktobe oblast 4329 4070 4157 4272 3681 3473
Almaty oblast 3586 3074 2544 2723 2646 2458Atyrau oblast 3985 4400 4183 4303 4520 4573
East Kazakhstan oblast 5699 4829 4524 4692 5270 5399
Zhambyl oblast 3640 3496 3658 3725 3046 3211
West Kazakhstan oblast 4785 3950 3682 3513 3560 3647
Karagandy oblast 8257 7591 6925 6856 6821 5985
Kostanai oblast 6139 4237 4429 4187 5176 4548
Kyzylorda oblast 4492 3694 3239 5027 5565 5294
Manghistau oblast 5953 5284 6461 6057 6408 6276
Pavlodar oblast 5868 5379 5278 5085 5016 4653
North Kazakhstan oblast 5142 3975 3741 4661 4201 3397
South Kazakhstan oblast 2927 2394 2320 2699 2714 2547
Astana City 0 0 0 0 0 7557
Almaty City 9528 8830 8226 8163 8723 8203KAZAKHSTAN 5204 4711 4508 4682 4628 4379
Table 1.10 continued
Region 1999 2000 2001 2002 2003 2004Akmola oblast including Astana City 4096 5200 7511 8587 9631 10216
Akmola oblast 2791 4608 5729 6196 7003 7429
Aktobe oblast 3469 4803 5753 7044 8122 8501
Almaty oblast 2473 3360 4029 4608 5483 6693
Atyrau oblast 4753 4472 5148 6215 6363 7152
East Kazakhstan oblast 5084 5117 5910 6562 7038 7955
Zhambyl oblast 3299 2965 3117 3950 4341 5535
West Kazakhstan oblast 3750 4233 4790 5622 6919 7492
Karagandy oblast 5903 5163 5945 6881 7412 8177
Kostanai oblast 4341 4852 5274 5787 6016 6550
Kyzylorda oblast 4642 3309 3530 3960 4900 5129
Manghistau oblast 5198 4389 5632 6648 7422 8573
Pavlodar oblast 4691 5194 6053 5674 6821 7658
North Kazakhstan oblast 3450 5211 6568 6106 6846 7111
South Kazakhstan oblast 2698 3164 3427 3960 4268 4934Astana City 7096 6336 10434 12199 13516 14303Almaty City 7628 6585 8403 9501 10080 10553
KAZAKHSTAN 4293 4487 5219 5862 6532 7260Source: calculated by the author using data of the RK Statistics Agency and regional values of per capita income spent on consumption..Note: The highest value in each year is highlighted in bold, while the lowest is in bold italics.
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Table 1.11. Basic human development indicators and related indices, by region, 2004
RegionLife
expect-ancy
Literacy rate
Enrol-ment rate
Income per
capita at PPP
Life expect-
ancy index
Educa-tion
index GDP index HDI
Akmola oblast 63,9 99,4 77,6 7429 0,645 0,921 0,719 0,763
Aktobe oblast 65,4 99,7 88,7 8501 0,656 0,960 0,742 0,792
Almaty oblast 67,0 99,4 68,1 6693 0,698 0,890 0,702 0,764
Atyrau oblast 65,9 99,7 88,9 7152 0,672 0,961 0,713 0,785
East Kazakhstan oblast 65,4 99,2 80,0 7955 0,672 0,928 0,730 0,777
Zhambyl oblast 67,0 99,7 77,6 5535 0,687 0,923 0,670 0,764
West Kazakhstan oblast 66,5 99,4 85,5 7492 0,666 0,948 0,720 0,787
Karagandy oblast 63,8 99,5 86,5 8177 0,647 0,952 0,735 0,778
Kostanai oblast 65,4 99,4 77,4 6550 0,670 0,921 0,698 0,764
Kyzylorda oblast 67,0 99,6 80,4 5129 0,688 0,932 0,657 0,763
Manghistau oblast 65,3 99,5 94,6 8573 0,667 0,979 0,743 0,798
Pavlodar oblast 65,8 99,4 85,9 7658 0,678 0,949 0,724 0,784
North Kazakhstan oblast 65,0 99,2 73,5 7111 0,663 0,906 0,712 0,762South Kazakhstan oblast 67,9 99,9 82,7 4934 0,701 0,942 0,651 0,769
Astana City 70,8 99,7 81,0 14303 0,758 0,935 0,828 0,842Almaty City 67,8 99,8 100,0 10553 0,720 0,999 0,778 0,830
Kazakhstan 66,2 99,5 84,0 7260 0,681 0,943 0,715 0,782Maximum/minimum 1,111 1,007 1,469 2,899 1,118 1,123 1,273 1,106
Source: calculated by the author using data of the RK Statistics Agency and regional values of per capita income spent on consumption. Note: The highest value in each year is highlighted in bold, while the lowest is in bold italics.
Table 1.12. Contribution of individual human development indicators to HDI
Region
Decreasing HDI Increasing HDI
HDI varia-tion
Contribution to HDI varia-tion, %
HDI varia-tion
Contribution to HDI varia-tion, %
LEB ASS GRP LEB ASS GRPAkmola oblast including
Astana City
-0,061 47 11 42 0,084 21 14 65
Akmola oblast … … … … 0,035 4 27 69
Aktobe oblast -0,065 37 10 53 0,065 7 30 63
Almaty oblast -0,071 27 7 66 0,027 27 11 61
Atyrau oblast -0,039 37 3 60 0,133 8 14 78East Kazakhstan oblast -0,057 49 13 38 0,039 40 32 28Zhambyl oblast -0,099 17 9 74 0,057 25 28 47
West Kazakhstan oblast -0,087 33 5 62 0,100 15 16 69Karagandy oblast -0,051 67 12 21 0,050 27 33 40Kostanai oblast -0,076 34 6 60 0,030 13 17 69Kyzylorda oblast -0,054 40 11 49 0,075 37 5 58
Manghistau oblast -0,069 22 2 76 0,136 -2 22 80Pavlodar oblast -0,037 60 5 31 0,056 18 27 55
North Kazakhstan oblast -0,077 35 7 59 0,025 31 12 56
South Kazakhstan oblast -0,089 27 6 67 0,061 22 26 52
Astana City … … … … 0,116 30 11 59
Almaty City -0,035 53 9 38 0,082 22 7 71KAZAKHSTAN -0,050 52 11 37 0,056 27 25 48
Source: calculated by the author using data of the RK Statistics Agency.Acronyms: LEB – life expectancy at birth;
ASS – ratio of aggregated share of students enrolled at all education levels and proportion of population aged 6-24;
GDP – Gross Domestic Product (for regions this indicator is Gross Regional Product) per capita.
Note: 2-4 highest indicator values by region are highlighted in bold, while 2-4 lowest are in bold italics.
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Table 1.13. Trends in individual human development indicators adjusted by gender, Kazakhstan, 1999-2004
Indicator 1999 2000 2001 2002 2003 2004 Varia-tion
Average life expectancy at birth, years 1) 65,5 65,5 65,8 66,0 65,8 66,18 0,7
including: women 1) 71,0 71,1 71,3 71,5 71,5 72,00 1,0
men 1) 60,3 60,2 60,5 60,7 60,5 60,62 0,3
Gender difference, years1) 10,7 10,9 10,8 10,8 11,0 11,4 -0,7
Proportion of employed women out of
hired employees, % 1)
47,6 42.2 49,1 49,0 49,1 49.0 +1,4
Female to male wage ratio, % 1) 67,6 61,5 58,7 61,7 60,8 61,7 -5,9
GDP per capita, USD 2) 4293 4487 5219 5862 6532 7260 2967
including: women 2) 3152 2683 3637 4212 4652 5211 2059
men 2) 5521 6428 6923 7640 8556 9467 3946
Gender difference, USD 2) 2369 3745 3286 3428 3903 4256 1887
Sources: 1) Data provided by the RK Statistics Agency. 2) Calculated by the author.
Table 1.14. Trends in Kazakhstan’s gender-adjusted indices of human development components and HDI, 1999-2004
Indicator 1999 2000 2001 2002 2003 2004 Varia-tion
Life expectancy index 0,767
0,5 88
0,768
0,587
0,772
0,592
0,775
0,595
0,775
0,592
0,783
0,594
0,016
0,027
Education index 0,925
0,915
0,925
0,915
0,929
0,919
0,940
0,927
0,945
0,929
0,952
0,935
0,027
0,020
GDP index 0,576
0,669
0,549
0,695
0,600
0,707
0,624
0,624
0,641
0,743
0,660
0,759
0,084
0,090
HDI0,756
0,724
0,748
0,732
0,767
0,739
0,780
0,749
0,787
0,754
0,798
0,763
0,042
0,038
Note: numerator – women, denominator – men.
Table 1.15. Trends in Kazakhstan’s gender (un) adjusted indices of human development components and HDI using UNDP methodology, 1999-2004
Показатель 1999 2000 2001 2002 2003 2004 Varia-tion
Life expectancy index 0,675
0,669
0,675
0,669
0,680
0,673
0,683
0,676
0,680
0,674
0,686
0,679
0,011
0,010
Education index 0,921
0,920
0,921
0,920
0,924
0,924
0,934
0,934
0,937
0,937
0,944
0,944
0,023
0,024
GDP index0,627
0,617
0,635
0,611
0,660
0,647
0,679
0,668
0,698
0,686
0,715
0,704
0,088
0,087
HDI0,741
0,736
0,743
0,733
0,755
0,748
0,766
0,760
0,772
0,766
0,782
0,776
0,041
0,040
Note: numerator – gender-aggregated, denominator – gender disaggregated.
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Table 1.16. Age-specifi c (per 1,000 women) and total (per woman) fertility rates for 2003-2030Age, years 2003 2005 2010-2015 2020 2025 2030
15–19 26,92 30,78 35,98 34,21 32,54 31,25
20–24 136,62 156,22 182,58 173,64 165,13 158,62
25–29 119,99 137,20 160,36 152,50 145,03 139,31
30–34 76,15 87,07 101,77 96,78 92,04 88,41
35–39 38,35 43,85 51,25 48,74 46,35 44,53
40–44 8,01 9,16 10,70 10,18 9,68 9,30
45–49 0,52 0,59 0,69 0,66 0,63 0,60
Total fertility rate 2,03 2,32 2,72 2,58 2,46 2,36Source: 1. 2003: Demographic Yearbook of Kazakhstan. 2004. Almaty, 2005. – p.336 – p.105
2. Years 2005-2030 calculated by the author using estimated fi gures.
Table 1.17. Decrease in death rates and life expectancy, 2003-20302004-2005
2006-2010
2011-2015
2016-2020
2021-2025
2026-2030
Annual decrease in death rates, %:
men 3 2 3 4 3 2,5
women 3 1,5 2 3 2 1,5
Life expectancy at birth at end of period, years:
Both genders 67,01 68,25 70,05 72,51 74,27 75,69 men 61,38 62,91 65,22 68,33 70,66 72,59
women 72,25 73,21 74,49 76,41 77,67 78,61
Gender difference in life expectancy, years 10,87 10,31 9,27 8,08 7,01 6,02
Source: Calculated by the author.
Table 1.18. Target projections of population size and general replacement indices, 2005-2031
2005 2010 2015 2020 2025 2030Population at the beginning of year, thousand people 15069,7 16061,3 17311,0 18571,1 19715,7 20856,1
including :
men 7253,1 7728,4 8342,5 8970,7 9547,7 10130,5
women 7816,7 8332,9 8968,5 9600,4 10168,0 10725,5
Men per 1,000 women 928 927 930 934 939 945
migration balance, thousand people 15,070 24,092 34,622 46,428 59,147 72,996
including
men 7,3 11,6 16,7 22,4 28,6 35,5
women 7,8 12,5 17,9 24,0 30,5 37,5
Births, thousand people 291,4 372,6 378,9 338,8 313,8 335,0
including
boys 149,4 191,0 194,2 173,7 160,8 171,7
girls 142,0 181,6 184,7 165,1 152,9 163,3
Deaths, thousand people 154,0 156,8 154,5 147,2 150,6 160,6
including
men 85,3 85,7 82,4 76,7 76,4 79,8
women 68,7 71,1 72,2 70,5 74,2 80,8
Natural population growth, thousand people 137,4 215,8 224,4 191,6 163,1 174,4
including
men 64,1 105,3 111,9 97,0 84,4 92,0
women 73,4 110,5 112,5 94,6 78,7 82,5
Total rates per 1,000 people of average annual population: migration balance 1,0 1,5 2,0 2,5 3,0 3,5
birth 19,2 23,0 21,7 18,1 15,8 16,0
death 10,2 9,7 8,9 7,9 7,6 7,7
natural population growth 9,1 13,3 12,9 10,3 8,2 8,3
total population growth 10,1 14,8 14,9 12,7 11,2 11,8
Source: calculated by the author.
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Table 1.19. Age composition of Kazakhstan population, 2003-2030
Age, years 2003 2005 2010 2015 2020 2025 2030Total 100,0 100,0 100,0 100,0 100,0 100,0 100,0
0–14 25,7 24,5 24,5 27,2 28,9 27,2 24,4
14–34 34,4 35,1 34,6 31,6 28,6 27,7 28,8
35–59 28,8 30,0 30,6 30,1 29,9 30,7 31,2
60–64 3,8 2,7 3,1 3,9 4,4 4,7 4,2
65 + 7,3 7,8 7,2 7,2 8,2 9,7 11,5
Demographic load coeffi cient 582 536 534 620 709 713 668
Source: calculated by the author.
Table 2.1. Poverty indicators in Kazakhstan
Proportion of people with income below
Poverty depth, %
Poverty se-verity, %
Gini coeffi -cient for 20%
population groups *
Ratio of in-comes of the richest and
poorest 10% of popula-
tion, times *
Subsistence minimum, %
Cost of food basket, %
19961) 34,6 … 11,4 5,2 0,319 …
1997 38,32) 12,72) 12,1 3,1 0,338 10,2
1998 39,02) 16,22) 12,8 3,8 0,347 11,3
1999 34,5 14,5 13,7 5,5 0,332 9,4
2000 31,8 11,7 10,3 4,0 0,307 8,3
2001 28,4 11,7 7,8 3,1 0,322 8,8
2002 24,2 8,9 6,1 2,2 0,312 8,1
2003 19,8 6,3 4,6 1,6 0,300 7,4
2004 16,1 4,3 3,3 1,0 0,291 6,8
1) Using fi ndings of special living standards survey.
2) Re-calculated using consumption standards effective as of 1999.
* The earlier published statistics were adjusted according to the new methodology. Trends starting from 1999 are calculated using the common methodology for
households involved in the year-long survey.
Table 2.2. Distribution of older people in quintile groups by income spent on consumption, households surveyed in 2003
Total population
Population by quintile groups
1st group (with lowest
income) 2nd group 3rd group 4th group
5th group (with
higeswt income)
Population, total 100,0 100,0 100,0 100,0 100,0 100,0
Including people aged:
60–64 4,0 2,2 2,7 3,5 4,4 7,0
65 and older 8,6 3,7 5,5 7,8 12,3 13,6
Women, total 100,0 100,0 100,0 100,0 100,0 100,0
Including women aged:
60–64 4,6 2,5 3,0 4,0 5,1 8,1
65 and older 10,7 4,7 7,0 9,5 15,3 16,1
Men, total 100,0 100,0 100,0 100,0 100,0 100,0
Including men aged:
60–64 3,2 2,0 2,3 3,0 3,6 5,4
65 and older 6,1 2,8 3,9 5,8 8,6 10,1
Source: Main Labor Market Indicators. 2004.
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Table 2.3. Average subsistence minimum of people of retirement age by region, per capita, tenge
December 2001
December 2002
December 2003
December 2004
December 2004 as %
of December 2003
Kazakhstan 3851 4086 4370 4683 107,2Akmola oblast 3951 4115 4477 4723 105,5
Aktobe oblast 3835 4230 4469 4992 111,7
Almaty oblast 3773 4019 4171 4543 108,9
Atyrau oblast 4684 5011 5351 5679 106,1
East Kazakhstan oblast 3811 3938 4239 4611 108,8
Zhambyl oblast 3099 3497 3801 4029 106,0
West Kazakhstan oblast 3674 4199 4182 4352 104,1
Karagandy oblast 4016 4160 4422 4548 102,8
Kostanai oblast 3634 3800 4024 4454 110,7
Kyzylorda oblast 3368 3657 4073 4489 110,2
Manghistau oblast 5046 5438 5790 6106 105,5
Pavlodar oblast 3719 4084 4104 4431 108,0
North Kazakhstan oblast 3816 4112 4329 4497 103,9
South Kazakhstan oblast 3125 3386 3736 4086 109,4
Astana city 3909 4130 4414 4782 108,3
Almaty city 4139 4559 4829 5148 106,6
Max 5046 5438 5790 6106 111,7Min 3099 3386 3736 4029 102,8Max / min 1,6 1,6 1,5 1,5 1,1
Source: Demographic Yearbook of Kazakhstan. Almaty, 2005.
Table 2.4. Income inequality by region, 2001-2004
Proportion of poor people Poverty depth. % Poverty severity. %
2001 2002 2003 2004 2001 2002 2003 2004 2001 2002 2003 2004Kazakhstan 28,4 24,2 19,8 16,1 7,7 6,1 4,6 3,3 3,0 2,2 1,6 1,0Akmola oblast 21,0 18,6 16,4 14,0 5,2 3,3 4,0 3,7 2,0 1,0 1,4 1,5
Aktobe oblast 29,8 22,6 19,0 14,3 9,0 6,8 4,5 3,4 4,0 2,8 1,5 1,1
Almaty oblast 39,3 36,3 25,3 15,2 11,5 10,1 5,7 2,7 4,6 3,8 1,8 0,7
Atyrau oblast 40,7 34,1 32,7 29,1 13,7 11,0 9,5 7,3 6,3 4,7 3,9 2,8
East Kazakhstan oblast 21,1 20,0 16,9 14,9 6,1 5,1 4,2 3,3 2,5 1,9 1,4 1,1
Zhambyl oblast 48,2 35,8 30,0 18,3 12,4 8,8 7,1 3,6 4,5 3,1 2,5 1,1
West Kazakhstan oblast 27,3 28,0 17,1 14,4 6,2 6,4 3,5 3,1 2,1 2,2 1,0 1,0
Karagandy oblast 22,8 19,3 15,1 13,5 5,7 4,6 3,4 2,9 2,2 1,6 1,1 0,9
Kostanai oblast 25,5 22,3 21,0 19,0 8,7 7,8 6,8 5,2 3,9 3,6 3,1 1,9
Kyzylorda oblast 39,5 32,3 27,1 26,5 8,4 6,8 5,7 4,5 2,7 2,1 1,6 1,2
Manghistau oblast 45,9 39,8 26,0 21,0 15,5 11,4 4,4 3,4 6,7 4,1 1,0 0,8
Pavlodar oblast 16,6 21,6 17,1 14,5 4,2 5,1 4,3 3,7 1,7 1,8 1,4 1,2
North Kazakhstan oblast 10,0 14,3 11,9 12,0 2,2 3,0 2,4 2,0 0,8 0,9 0,7 0,6
South Kazakhstan oblast 39,2 27,5 26,1 23,0 9,7 5,7 5,0 3,8 3,5 1,8 1,5 1,1
Astana city 2,2 2,2 2,1 1,1 0,5 0,3 0,2 0,4 0,1 0,1 0,1 0,2
Almaty city 4,9 4,1 3,9 2,8 1,0 0,6 0,8 0,4 0,3 0,2 0,2 0,1
Max 48,2 39,8 32,7 29,1 15,5 11,4 9,5 7,3 6,7 4,7 3,9 2,8Min 2,2 2,2 2,1 1,1 0,5 0,3 0,2 0,4 0,1 0,1 0,1 0,1Max / min 21,9 18,1 15,6 26,5 31,0 38,0 47,5 18,3 67,0 47,0 39,0 28,0
Source: Demographic Yearbook of Kazakhstan. Almaty, 2005.
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Table 2.5. Recipients and average size of state benefi ts. At year end
2001 2002 2003 20042004 as % of 2003
Recipients of state benefi ts, thousand people1 643,0 647,1 645,7 651,0 100,8
Of which:
Disability benefi ts 386,4 389,7 389,6 395,1 101,4
Survival benefi ts 238,5 240,6 240,7 240,9 100,1
Age benefi ts 18,2 16,7 15,5 15,0 97,1
Average assigned monthly state benefi t, total, tenge 3581 4059 4365 4580 104,9
Of which:
Disability benefi ts 3153 3774 4153 4357 104,9
Survival benefi ts 4371 4631 4820 5060 105,0
Age benefi ts 2325 2469 2616 2757 105,4
1 Not including military personnel.
Table 3.1. Population by economic activity and age
Total
Economic activity status
Economi-cally active
includingEconomical-ly inactiveemployed
Looking for other or
extra job Unemployed
Total population 11223954 7840554 7181755 540607 658799 3383400Including people
aged, years:
60–64 438112 150565 144294 2471 6271 287547
65–69 506277 81272 81272 – – 425005
70 and older 627177 26302 26302 – – 600875
Men 60–64 175572 89079 84251 2442 4828 86493
65–69 212586 41482 41482 – – 171104
70 and older 197928 11790 11790 – – 186138
Women 60–64 262540 61486 60043 29 1443 201054
65–69 293691 39790 39790 – – 253901
70 and older 429249 14512 14512 – – 414737
Source: Statistical Yearbook of Kazakhstan, Almaty, 2005
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Table 3.2. Population of Kazakhstan by economic activity and age, 2004, %
total including
economically active economically inactiveTotal population
Total population 100 100 100Including people aged. years old:
60–64 3,9 1,9 8,5
65–69 4,5 1,0 12,6
70 and older 5,6 0,3 17,8
Total population 100 69,9 30,1
Including people aged. years old:
60–64 100 34,4 65,6
65–69 100 16,1 83,9
70 and older 100 4,2 95,8
Including menTotal population 100 100 100Including people aged. years old:
60–64 3,3 2,2 6,7
65–69 4,0 1,0 13,2
70 and older 3,7 0,3 14,4
Total population 100 75,6 24,4
Including people aged. years old:
60–64 100 50,7 49,3
65–69 100 19,5 80,5
70 and older 100 6,0 94,0
womenTotal population 100 100 100Including people aged. years old:
60–64 4,4 1,6 9,6
65–69 5,0 1,0 12,1
70 and older 7,2 0,4 19,8
Total population 100 64,8 35,2
Including people aged. years old:
60-64 100 23,4 76,6
65-69 100 13,5 86,5
70 and older 100 3,4 96,6
Source: RK Statistics Agency, 2005.
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Table 3.3. Urban population by economic activity and age (percent)
total Economic activity status
economically active
including economically inactiveemployed unemployed
Total populationTotal population 100 100 100 100 100Including people aged.
years:
60–64 4,0 1,7 1,7 1,2 8,6
65–69 4,8 0,7 0,8 – 12,9
70 and older 6,1 0,2 0,3 – 18,0
Total population 100 66,9 90,6 9,4 33,1
Including people aged.
years:
60–64 100 28,1 93,3 6,7 71,9
65–69 100 10,2 100,0 – 89,8
70 and older 100 2,7 100,0 – 97,3
menTotal population 100 100 100 100 100Including people aged.
years:
60–64 3,3 2,1 2,1 2,2 6,6
65–69 4,3 0,8 0,9 – 13,6
70 and older 4,2 0,2 0,2 – 14,7
Total population 100 72,8 92,4 7,6 27,2
Including people aged.
years:
60–64 100 45,8 91,9 8,1 54,2
65–69 100 13,7 100,0 – 86,3
70 and older 100 3,9 100,0 – 96,1
womenTotal population 100 100 100 100 100Including people aged.
years:
60–64 4,5 1,3 1,4 0,5 9,8
65–69 5,2 0,6 0,7 – 12,5
70 and older 7,8 0,3 0,3 – 20,0
Total population 100 62,0 88,8 11,2 38,0
Including people aged.
years:
60–64 100 17,4 95,4 4,6 82,6
65–69 100 7,8 100,0 – 92,2
70 and older 100 2,1 100,0 – 97,9
Source: RK Statistics Agency, 2005.
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Table 3.4. Rural population by economic activity and age (percent)
total Economic activity status
economically active
including economically inactiveemployed unemployed
Total populationTotal population 100 100 100 100 100Including people aged,
years:
60–64 3,8 2,2 2,4 0,5 8,3
65–69 4,2 1,4 1,5 – 11,9
70 and older 4,8 0,5 0,5 – 17,3
Total population 100 74,0 92,9 7,1 26,0
Including people aged,
years:
60–64 100 43,6 98,3 1,7 56,4
65–69 100 25,7 100,0 – 74,3
70 and older 100 6,9 100,0 – 93,1
menTotal population 100 100 100 100 100Including people aged,
years:
60–64 3,4 2,4 2,5 1,0 6,9
65–69 3,7 1,3 1,4 – 12,6
70 and older 3,2 0,4 0,4 – 13,9
Total population 100 79,2 93,7 6,3 20,8
Including people aged,
years:
60–64 100 57,1 97,3 2,7 42,9
65–69 100 28,5 100,0 – 71,5
70 and older 100 9,4 100,0 – 90,6
womenTotal population 100 100 100 100 100Including people aged,
years:
60–64 4,3 2,1 2,2 0,1 9,2
65–69 4,6 1,6 1,7 – 11,4
70 and older 6,4 0,5 0,6 – 19,5
Total population 100 69,0 92,1 7,9 31,0
Including people aged,
years:
60-64 100 33,2 99,5 0,5 66,8
65-69 100 23,5 100,0 – 76,5
70 and older 100 5,7 100,0 – 94,3
Source: RK Statistics Agency, 2005.
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Table 3.5. Main labor market indicators in Kazakhstan
1998 1999 2000 2001 2002 2003 2004Economically active population, thousand people 7052,6 7055,4 7107,4 7479,1 7399,7 7657,3 7840,6
Economic activity rate, % 65,9 66,0 66,0 70,2 70,1 70,0 69,9
Employed population, thousand people 6127,6 6105,4 6201,0 6698,8 6708,9 6985,2 7181,8
Employment rate, % 86,9 86,5 87,2 89,6 90,7 91,2 91,6
Economically inactive population, thousand
people3649,9 3639,5 3655,2 3175,8 3155,3 3278,6 3383,4
Economic inactivity rate, % 34,1 34,0 34,0 29,8 29,9 30,0 30,1
Economically inactive population because of
retirement, thousand people1584,2 1565,6 1461,9 1425,1
Proportion of retired people in economically
inactive population, %49,9 49,6 44,6 42,1
Source: Republic of Kazakhstan: 2005 (brief statistical reference). Almaty, 2005
Table 3.6 . Employed population, 2001-2004
2001 2002 2003 2004Both gen-ders
including Both gen-ders
including Both gen-ders
including Both gen-ders
including
men wom-en men wom-
en men wom-en men wom-
enTotal population, including people aged:
6698,8 3470,2 3228,6 6708,9 3486,4 3222,5 6985,2 3618,3 3366,9 7181,8 3718,5 3463,3
15 29,2 15,7 13,6 19,6 9,3 10,3 22,2 11,0 11,2 15,5 9,4 6,1
16–19 292,8 161,9 130,9 264,9 150,6 114,4 327,4 182,9 144,5 321,2 182,9 138,3
20–24 694,1 372,4 321,7 636,3 350,7 285,6 760,2 424,1 336,2 814,3 448,0 366,3
25–29 806,2 429,4 376,8 795,9 424,4 371,5 947,4 504,5 442,9 1012,4 538,1 474,3
30–34 819,0 422,5 396,4 810,4 423,9 386,5 978,6 502,8 475,8 1078,8 557,2 521,6
35–39 954,7 487,1 467,6 921,4 465,6 455,8 850,2 430,0 420,2 873,9 446,9 427,0
40–44 975,2 498,2 477,1 1025,0 522,0 503,0 981,9 495,0 486,9 1003,5 490,2 513,3
45–49 821,7 396,4 425,3 833,0 409,2 423,8 829,0 411,7 417,3 830,5 412,9 417,6
50–54 636,9 321,2 315,7 678,7 335,6 343,1 670,1 326,8 343,3 650,9 323,8 327,1
55–59 254,7 142,4 112,2 293,9 161,2 132,7 288,9 151,1 137,8 329,0 171,7 157,3
60–64 271,0 155,4 115,6 263,7 150,6 113,1 195,9 112,8 83,1 144,3 84,3 60,0
65–69 92,2 46,5 45,7 109,5 61,1 48,4 96,5 48,0 48,5 81,3 41,5 39,8
70 and older 51,2 21,2 30,0 56,5 22,2 34,3 36,8 17,5 19,3 26,3 11,8 14,5
Max 975,2 498,2 477,1 1025,0 522,0 503,0 981,9 504,5 486,9 1078,8 557,2 521,6Min 29,2 15,7 13,6 19,6 9,3 10,3 22,2 11,0 11,2 15,5 9,4 6,1Max / min 33,4 31,7 35,1 52,3 56,1 48,8 44,2 45,9 43,5 69,6 59,3 85,5
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Table 4. 1 National and regional numbers of TB patients on the follow-up register at the end of the reporting year in 2004 and as of 31.07.2005 (data from the National Register of People Infected with Tuberculosis)
Region
Tuberculosis cases including active tuberculosis cases 2004 As of 31.07.2005 2004 As of 31.07.2005
total
including patients aged
60+total
including patients aged
60+total
including patients aged
60+total
including patients aged
60+abso-lute
fi gure%
abso-lute
fi gure%
abso-lute
fi gure%
abso-lute
fi gure%
Kazakhstan 284619 14932 5,2 311650 15295 4,9 67757 5221 7,7 71915 5487 7,6Akmola oblast 19296 1074 5,6 19599 1049 5,4 4003 286 7,1 4110 290 7,1
Aktobe oblast 16491 721 4,4 18371 768 4,2 4641 209 4,5 5013 234 4,7
Almaty oblast 23494 1191 5,1 25945 1216 4,7 5256 452 8,6 5695 480 8,4
Atyrau oblast 16646 558 3,4 18947 602 3,2 3052 122 4,0 3199 134 4,2
East Kazakhstan oblast 27292 1431 5,2 28884 1487 5,1 6281 497 7,9 6857 532 7,8
Zhambyl oblast 17300 737 4,3 24874 835 3,4 4347 297 6,8 4464 307 6,9
West Kazakhstan oblast 13431 861 6,4 12735 708 5,6 3768 289 7,7 3779 276 7,3
Karagandy oblast 20413 1191 5,8 20954 1221 5,8 6710 480 7,2 6850 515 7,5
Kyzylorda oblast 19382 1656 8,5 19501 1574 8,1 4386 606 13,8 4462 634 14,2
Kostanai oblast 13262 796 6,0 14940 780 5,2 4266 286 6,7 4427 287 6,5
Мanghistau oblast 9874 246 2,5 9585 235 2,5 2162 132 6,1 2462 153 6,2
Pavlodar oblast 23167 970 4,2 24970 952 3,8 5041 437 8,7 5280 414 7,8
North Kazakhstan
oblast14414 747 5,2 16827 808 4,8 3303 283 8,6 3580 312 8,7
South Kazakhstan
oblast30984 1813 5,9 31631 1995 6,3 6273 556 8,9 6541 601 9,2
Astana City 6137 200 3,3 7017 199 2,8 1852 131 7,1 2192 128 5,8
Almaty City 13036 740 5,7 16870 866 5,1 2416 158 6,5 3004 190 6,3
Table 4.2. National and regional numbers of diabetes patients on the follow-up register at the end of the report-ing year, 2002-2004 (data from the database of diabetes patients)
Region
Diabetes cases2002 2003 2004
total
including pa-tients aged 60+
total
including pa-tients aged 60+
total
including pa-tients aged 60+
abso-lute
fi gure%
abso-lute
fi gure%
abso-lute
fi gure%
Kazakhstan 98728 62912 63,7 110878 68816 62,1 117771 71131 60,4Akmola oblast 5538 3593 64,9 5849 3752 64,1 6262 3901 62,3
Aktobe oblast 3247 2024 62,3 3491 2057 58,9 3947 2204 55,8
Almaty oblast 5904 3562 60,3 9178 5380 58,6 7770 4208 54,2
Atyrau oblast 1786 922 51,6 1955 913 46,7 2066 938 45,4
East Kazakhstan oblast 12992 8783 67,6 14333 9493 66,2 15088 9820 65,1
Zhambyl oblast 5922 3365 56,8 6636 3731 56,2 6860 3691 53,8
West Kazakhstan oblast 2391 1482 62,0 2565 1602 62,5 2564 1528 59,6
Karagandy oblast 11659 7821 67,1 12053 7800 64,7 13230 8352 63,1
Kyzylorda oblast 1913 918 48,0 2199 1067 48,5 2538 1247 49,1
Kostanai oblast 8083 5667 70,1 8604 5947 69,1 9343 6267 67,1
Мanghistau oblast 1079 562 52,1 1409 648 46,0 1670 738 44,2
Pavlodar oblast 6351 4211 66,3 7008 4578 65,3 7356 4789 65,1
North Kazakhstan oblast 5812 3771 64,9 6117 3851 63,0 6499 3991 61,4
South Kazakhstan oblast 11557 6323 54,7 13439 7363 54,8 14886 7973 53,6
Astana City 3036 1975 65,1 3321 2125 64,0 3626 2344 64,6
Almaty City 11458 7933 69,2 12721 8509 66,9 14066 9140 65,0
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Table 4.3. Cases registered for the fi rst time, Kazakhstan, 1998, 2000, 2002, and 2004 (data from National Sta-tistics)
Disease
1998 2000 2002 2004
Notetotal
including patients aged 60+
total
including patients aged 60+
total
including patients aged 60+
total
including patients aged 60+
abso-lute fi g-ure
%
abso-lute fi g-ure
%
abso-lute fi g-ure
%
abso-lute fi g-ure
%
Active tuberculosis 18505 1193 6,4 22182 870 3,9 24478 933 3,8 23163 825 3,6 (65 years +)
Malignant tumors 28839 17215 59,7 28511 17406 61,1 29314 17885 61,0 29157 16860 57,8
Syphilis 36044 2412 6,7 23996 2434 10,1 18300 2184 11,9 11907 1611 13,5 (45 years +)
Mental and behavioral
disorders 25203 1334 5,3 26921 1064 4,0 26882 1949 7,3 26294 1876 7,1
Mental and behavioral
disorders caused by
substance abuse
42322 119 0,3 43851 138 0,3 62343 263 0,4 60667 380 0,6
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Table 4.4 Deaths in Kazakhstan in 1995, 2000 - 2004 (data provided by the Statistics Agency of Kazakhstan)
Disease groups
1995 2000 2001
total
includ-ing pa-tients aged 60+
% total
includ-ing pa-tients aged 60+
% total
includ-ing pa-tients aged 60+
%
TOTAL 168884 77701 46,0 148855 80691 54,2 147547 75558 51,2Infectious and parasitic
diseases 6784 735 10,8 5057 832 16,5 4532 691 15,2
Neoplasms 22207 3344 15,1 19333 4023 20,8 19173 3885 20,3
Blood and blood-making
system diseases 164 35 21,3 133 31 23,3 152 52 34,2
Endocrine diseases,
nutrition and metabolic
disorders
1946 1165 59,9 1449 990 68,3 1485 1008 67,9
Mental and behavioral
disorders 803 138 17,2 480 90 18,8 510 109 21,4
Nervous system diseases 1565 199 12,7 1361 271 19,9 1461 296 20,3
Ear and mastoid diseases 10 1 10,0 8 4 50,0 9 1 11,1
Circulatory system
diseases 80421 54690 68,0 74422 58150 78,1 73549 53604 72,9
Respiratory system
diseases 15644 7986 51,0 10566 6413 60,7 9716 5677 58,4
Digestive system diseases 5692 2676 47,0 5631 2784 49,4 6025 2888 47,9
Skin and subcutaneous
cellular tissue diseases 155 49 31,6 113 28 24,8 113 28 24,8
Bone and muscle system
and connective tissue
diseases
203 61 30,0 114 40 35,1 164 51 31,1
Urogenital apparatus
diseases 2232 845 37,9 1969 870 44,2 1934 876 45,3
Pregnancy, natal and post-
natal complications 159 94 87
Various perinatal
conditions 2119 1379 1416
Congenital abnormalities
(developmental
disorders), deformities
and chromosome
disorders
1414 11 0,8 1050 8 0,8 1112 3 0,3
Symptoms, signs and
abnormalities 4096 2781 67,9 4775 3122 65,4 4495 3057 68,0
Injuries and poisoning
and other after-effects
of exposure to external
conditions
23270 2985 12,8 20921 3035 14,5 21614 3332 15,4
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Table 4.4 continued
Disease groups
2002 2003 2004
total
includ-ing pa-tients aged 60+
% total
includ-ing pa-tients aged 60+
% total
includ-ing pa-tients aged 60+
%
TOTAL 148700 50719 34,1 155302 83432 53,7 152250 87376 57,4Infectious and parasitic
diseases 4583 669 14,6 4288 571 13,3 3979 457 11,5
Neoplasms 18989 3641 19,2 18898 2729 14,4 18501 11675 63,1
Blood and blood-making
system diseases 123 34 27,6 144 34 23,6 157 46 29,3
Endocrine diseases,
nutrition and metabolic
disorders
1618 1093 67,6 1516 999 65,9 1339 851 63,6
Mental and behavioral
disorders 569 113 19,9 530 112 21,1 520 91 17,5
Nervous system diseases 1285 233 18,1 1535 353 23,0 1462 369 25,2
Ear and mastoid diseases 7 2 28,6 1 9 3 33,3
Circulatory system
diseases 75447 29189 38,7 80392 62482 77,7 77860 59368 76,2
Respiratory system
diseases 9785 5717 58,4 10304 6125 59,4 8752 5003 57,2
Digestive system diseases 6275 2937 46,8 6907 3065 44,4 7199 2942 40,9
Skin and subcutaneous
cellular tissue diseases 122 33 27,0 82 37 45,1 99 37 37,4
Bone and muscle system
and connective tissue
diseases
148 36 24,3 164 50 30,5 184 48 26,1
Urogenital apparatus
diseases 1874 838 44,7 1870 796 42,6 1758 774 44,0
Pregnancy, natal and post-
natal complications 80 101 63 0,0
Various perinatal
conditions 1372 1461 1893 0,0
Congenital abnormalities
(developmental
disorders), deformities
and chromosome
disorders
1043 2 0,2 1125 28 2,5 1146 43 3,8
Symptoms, signs and
abnormalities 4687 3003 64,1 4898 2892 59,0 5201 2958 56,9
Injuries and poisoning
and other after-effects
of exposure to external
conditions
20693 3179 15,4 21086 3159 15,0 22128 2711 12,3
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Table 4.5. Male ‘over-mortality’ rate in KazakhstanНаселение, лет Total population Urban population Rural populationTotal population 1,38 1,48 1,24
under 1 1,33 1,40 1,21
1–4 1,17 1,11 1,22
5–9 1,46 1,54 1,14
10–14 1,48 1,47 1,43
15–19 2,11 1,95 2,41
20–24 2,72 3,05 2,32
25–29 3,11 3,36 2,77
30–34 3,34 3,74 2,79
35–39 3,10 3,38 2,70
40–44 3,07 3,33 2,75
45–49 2,94 3,18 2,56
50–54 2,77 3,11 2,22
55–59 2,61 2,87 2,20
60–64 2,39 2,63 2,06
65–69 2,17 2,37 1,88
70–74 1,86 1,49 1,75
75–79 1,54 1,56 1,51
80–84 1,32 1,34 1,28
85+ 1,12 1,08 1,20Source: Demographic Yearbook of Kazakhstan. Almaty, 2005.
Table 4.6. Population and older people diagnosed as disabled for the fi rst time in Kazakhstan in 2004
Total population,
people
People diag-
nosed as disabled for the
fi rst time (PDA), people
including all people of pension age diagnosed as disabled for the
fi rst time
Urban areas Rural areas
Total, people
% of all people diag-
nosed as disabled for the
fi rst time
populationpeople of pension age diagnosed as disabled
for the fi rst timepopulation
people of pension age diagnosed as disabled
for the fi rst time
Total, people
% of total popula-
tion
Total,
people
% of all people of pension
age diag-nosed as disabled for the
fi rst time
Total, people
% of total popula-
tion
Total,
people
% of all people of pension
age diag-nosed as disabled for the
fi rst time
Akmola oblast 747633 2390 219 9,2 352581 47,2 149 68,0 395052 52,8 70 32,0
Aktobe oblast 678391 1549 161 10,4 374577 55,2 125 77,6 303814 44,8 36 22,4
Almaty oblast 1589501 3842 156 4,1 474034 29,8 69 44,2 1115467 70,2 87 65,8
Atyrau oblast 463680 1033 30 2,9 265716 57,3 21 70,0 197964 42,7 9 30,0
West Kazakhstan
oblast606688 1824 196 10,8 262587 43,3 116 59,2 344101 56,7 80 40,8
Zhambyl oblast 991950 2654 118 4,5 447179 45,1 25 21,2 544771 54,9 93 78,8
Karagandy oblast 1331646 4710 468 9,9 1116390 83,8 426 91,0 215256 16,2 42 9,0
Kostanai oblast 907296 2198 249 11,3 498586 54,9 191 76,7 408710 45,1 58 23,3
Kyzylorda oblast 612028 1784 134 7,5 364122 59,5 64 47,8 247906 40,5 70 52,2
Manghistau oblast 361733 1012 105 10,4 274615 75,9 77 73,3 87118 24,1 28 26,7
South Kazakhstan
oblast2193522 7165 372 5,2 840427 38,3 196 52,7 1353095 61,7 176 47,3
Pavlodar oblast 743909 2106 314 14,9 487778 65,6 241 76,8 256131 34,4 73 23,2
North Kazakhstan
oblast665777 2176 257 11,8 243667 36,6 169 65,8 422110 63,4 88 34,2
East Kazakhstan
oblast1442018 4594 684 14,9 854243 59,2 503 73,5 587775 40,8 181 26,5
Astana City 529356 1042 121 11,6 529356 100 121 100 0 0 0 0
Almaty City 1209103 2746 487 17,7 1209103 100 487 100 0 0 0 0
KAZAKHSTAN 15074231 42825 4071 9,5 8594961 57,0 2980 73,2 6479270 43,0 1091 26,8
Source: RK Statistics Agency
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Table 5.1. Evening general education schools (at start of academic year)
2001/02 2002/03 2003/04 2004/05
schools
students enrolled,
thou-sand
students
schools
students enrolled,
thou-sand
students
schools
students enrolled,
thou-sand
students
schools
students enrolled,
thou-sand
students KAZAKHSTAN 48 24,6 47 24,5 66 27,0 75 26,2
Akmola oblast 3 0,7 2 0,8 3 0,8 8 1,5
Aktobe oblast 1 0,7 1 0,6 2 0,8 2 0,8
Almaty oblast – 0,1 – 0,1 3 0,5 3 0,6
Atyrau oblast 3 1,0 3 0,8 3 0,7 2 0,7
East Kazakhstan oblast 3 1,2 2 1,0 8 2,6 8 2,5
Zhambyl oblast 7 3,0 7 3,1 7 3,2 10 3,1
West Kazakhstan oblast 3 2,3 4 2,3 4 2,1 4 1,7
Karagandy oblast 4 2,3 4 2,7 11 2,9 11 3,1
Kostanai oblast 3 2,5 3 2,4 3 0,8 3 1,5
Kyzylorda oblast 7 0,9 8 0,7 8 2,2 8 0,8
Manghistau oblast 4 1,2 4 1,3 5 1,5 5 1,4
Pavlodar oblast – 1,3 – 1,6 – 1,6 2 1,1
North Kazakhstan oblast 4 2,1 3 1,7 3 1,4 3 1,2
South Kazakhstan oblast 5 2,6 5 2,7 5 3,0 5 3,3
Astana City 1 0,1 1 0,2 1 0,4 1 0,3
Almaty City – 2,6 – 2,5 – 2,5 – 2,6Source: RK Statistics Agency
Table 5.2. Vocational schools
2001/02 2002/03 2003/04 2004/05KAZAKHSTAN 284 287 288 296
Akmola oblast 20 19 18 18
Aktobe oblast 16 16 16 16
Almaty oblast 24 25 25 24
Atyrau oblast 13 13 13 13
East Kazakhstan oblast 34 35 35 38
Zhambyl oblast 10 12 11 14
West Kazakhstan oblast 20 20 20 20
Karagandy oblast 32 32 33 30
Kostanai oblast 10 7 9 7
Kyzylorda oblast 13 13 13 13
Manghistau oblast 5 4 4 5
Pavlodar oblast 24 26 26 28
North Kazakhstan oblast 23 24 24 24
South Kazakhstan oblast 23 24 24 28
Astana City 5 5 5 5
Almaty City 12 12 12 13Source: RK Statistics Agency
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Table 5.3. Colleges
Регион 2001/02 2002/03 2003/04 2004/05KAZAKHSTAN 318 335 357 385
Akmola oblast 15 17 16 16
Aktobe oblast 13 13 13 15
Almaty oblast 22 26 29 30
Atyrau oblast 9 8 10 11
East Kazakhstan oblast 38 40 42 42
Zhambyl oblast 20 20 22 27
West Kazakhstan oblast 9 9 10 10
Karagandy oblast 24 27 28 31
Kostanai oblast 22 22 22 23
Kyzylorda oblast 11 14 15 18
Manghistau oblast 11 11 12 13
Pavlodar oblast 27 30 30 29
North Kazakhstan oblast 10 10 10 11
South Kazakhstan oblast 28 29 31 37
Astana City 15 17 18 18
Almaty City 44 42 49 54Source: RK Statistics Agency
Table 5.4. Higher education institutions
2001/02 2002/03 2003/04 2004/05KAZAKHSTAN 185 177 180 181
Akmola oblast 7 7 8 8
Aktobe oblast 6 6 6 7
Almaty oblast 3 3 4 4
Atyrau oblast 3 3 3 3
East Kazakhstan oblast 13 12 9 11
Zhambyl oblast 4 4 4 5
West Kazakhstan oblast 5 5 6 6
Karagandy oblast 17 14 15 15
Kostanai oblast 8 8 8 9
Kyzylorda oblast 8 7 6 6
Manghistau oblast 4 4 5 4
Pavlodar oblast 4 4 4 5
North Kazakhstan oblast 4 4 4 4
South Kazakhstan oblast 19 20 19 18
Astana City 7 7 10 10
Almaty City 73 69 69 66Source: RK Statistics Agency
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Table 5.5. College students aged 40+, at start of academic year
2003/2004 2004/2005KAZAKHSTAN 2820 3170
Akmola oblast 61 93
Aktobe oblast 352 338
Almaty oblast 63 66
Atyrau oblast 7 31
East Kazakhstan oblast 287 323
Zhambyl oblast 114 130
West Kazakhstan oblast 75 57
Karagandy oblast 309 398
Kostanai oblast 155 175
Kyzylorda oblast 70 77
Manghistau oblast 122 140
Pavlodar oblast 375 497
North Kazakhstan oblast 302 264
South Kazakhstan oblast 228 198
Astana City 207 236
Almaty City 93 147Source: RK Statistics Agency
Table 5.6. Students enrolled in higher education at start of academic year
aged 40+2003/2004 2004/2005
Kazakhstan 13461 17246
Akmola oblast 498 712
Aktobe oblast 978 890
Almaty oblast 99 508
Atyrau oblast 437 649
East Kazakhstan oblast 929 1031
Zhambyl oblast 616 839
West Kazakhstan oblast 635 886
Karagandy oblast 1883 2326
Kostanai oblast 948 1960
Kyzylorda oblast 363 587
Manghistau oblast 261 337
Pavlodar oblast 736 1331
North Kazakhstan oblast 364 450
South Kazakhstan oblast 1059 1217
Astana City 308 267
Almaty City 3347 3256Source: RK Statistics Agency
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ANNEX 3UNITED NATIONS PRINCIPLES FOR OLDER PERSONS 108
The General Assembly:
Appreciating the contribution that older persons make to
their societies,
Recognizing that, in the Charter of the United Nations,
the peoples of the United Nations declare, inter alia, their
determination to reaffi rm faith in fundamental human
rights, in the dignity and worth of the human person,
in the equal rights of men and women and of nations
large and small and to promote social progress and better
standards of life in larger freedom,
Noting the elaboration of those rights in the Universal
Declaration of Human Rights, the International Cove-
nant on Economic, Social and Cultural Rights and the
International Covenant on Civil and Political Rights and
other declarations to ensure the application of universal
standards to particular groups,
In pursuance of the International Plan of Action on Ageing, adopted by the World Assembly on Ageing and
endorsed by the General Assembly in its resolution 37/51
of 3 December 1982,
Appreciating the tremendous diversity in the situation
of older persons, not only between countries but within
countries and between individuals, which requires a va-
riety of policy responses,
Aware that in all countries, individuals are reaching an
advanced age in greater numbers and in better health
than ever before,
Aware of the scientifi c research disproving many stere-
otypes about inevitable and irreversible declines with
age,
Convinced that in a world characterized by an increasing
number and proportion of older persons, opportunities
must be provided for willing and capable older persons
to participate in and contribute to the ongoing activities
of society,
Mindful that the strains on family life in both developed
and developing countries require support for those pro-
viding care to frail older persons,
Bearing in mind the standards already set by the Inter-
national Plan of Action on Ageing and the conventions,
recommendations and resolutions of the International
Labor Organization, the World Health Organization and
other United Nations entities,
Encourages Governments to incorporate the following
principles into their national programmes whenever pos-
sible
108 Adopted by GA Resolution 46/91 of 16 December 1991. Based on the
International Plan of Action on Ageing; refer to GA Report on Ageing,
Vienna, 26 July – 6 August 1982 (published by the United Nations, sold as
R.82.I.16), chapter VI, section А. http://www.un.org/russian/topics/socdev/
elderly/oldprinc.htm
Independence
1. Older persons should have access to adequate
food, water, shelter, clothing and health care
through the provision of income, family and
community support and self-help.
2. Older persons should have the opportunity to
work or to have access to other income-generat-
ing opportunities.
3. Older persons should be able to participate in
determining when and at what pace withdrawal
from the labor force takes place.
4. Older persons should have access to appropriate
educational and training programmes.
5. Older persons should be able to live in environ-
ments that are safe and adaptable to personal
preferences and changing capacities.
6. Older persons should be able to reside at home
for as long as possible.
Participation
7. Older persons should remain integrated in socie-
ty, participate actively in the formulation and im-
plementation of policies that directly affect their
well-being and share their knowledge and skills
with younger generations.
8. Older persons should be able to seek and develop
opportunities for service to the community and
to serve as volunteers in positions appropriate to
their interests and capabilities.
9. Older persons should be able to form movements
or associations of older persons.
Care
10. Older persons should benefi t from family and
community care and protection in accordance
with each society’s system of cultural values.
11. Older persons should have access to health care
to help them to maintain or regain the optimum
level of physical, mental and emotional well- be-
ing and to prevent or delay the onset of illness.
12. Older persons should have access to social and
legal services to enhance their autonomy, protec-
tion and care.
13. Older persons should be able to utilize appropri-
ate levels of institutional care providing protec-
tion, rehabilitation and social and mental stimula-
tion in a humane and secure environment.
14. Older persons should be able to enjoy human
rights and fundamental freedoms when residing
in any shelter, care or treatment facility, including
full respect for their dignity, beliefs, needs and
privacy and for the right to make decisions about
their care and the quality of their lives.
Self-fulfi llment
15. Older persons should be able to pursue opportu-
nities for the full development of their potential.
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16. Older persons should have access to the educa-
tional, cultural, spiritual and recreational resourc-
es of society.
Dignity
17. Older persons should be able to live in dignity
and security and be free of exploitation and phys-
ical or mental abuse.
18. Older persons should be treated fairly regardless
of age, gender, racial or ethnic background, dis-
ability or other status, and be valued independ-
ently of their economic contribution.
NATIONAL HUMAN DEVELOPMENT REPORT – 2005
121
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Authors:1. Aikan Aikanov – Vice-Minister of Health Care of the Republic of Kazakhstan
2. Yuriy Shokamanov – First deputy to chairperson, RK Statistics Agency
3. Shamil Dauranov – Director, Department of Economic Policy and Indicative Planning of the RK Ministry of
Economy and Budget Planning
4. Makpal Djadrina – Vice-President, Kazakh Academy of Education after Altynsarin
5. Anastassiya Kurassova – Deputy to director, Department of Employment and Social Programmes, Almaty City
Akimat
6. Akzholtai Yelemessova – Head, Statistics and Assessment Department, Ryskulov Kazakh Economic University
7. Gaziza Moldakulova – MICS project coordinator, UNFPA/UNICEF
8. Yuriy Buluktaev – senior research assistant, Institute of Phylosophy and Political Sciences
9. Rustam Burnashev – lecturer, Kazakh-German University
10. Shynar Imangaliyeva – Human Development Programme coordinator, UNDP
11. Tatyana Popova – head of medical and social assessment laboratory, RK High School of Public Health
12. Gulnara Tokmurzieva – Deputy to Director, Center of Preventive Medicine of National Center for Healthy Lyfe-
style Promotion
Consultative Board:1. Yuriko Shoji – UN Resident Coordinator in the Republic of Kazakhstan
2. Gordon Johnson – UNDP Deputy Resident Representative in Kazakhstan
3. Loup Brefort – World Bank Country Manager in Kazakstan
4. Zheken Kaliuly – chairperson, UN Assistance Association in Kazakhstan
5. Gulshara Abdykalieva – Vice-Minister of Labor and Social Protection of the Republic of Kazakhstan
6. Zhaksybek Kulekeev – Rector, Public Administration Academy under the RK President
7. Anar Meshimbaeva – Head, Center of System Research of the RK Presidential Administration
8. Zhanar Sagimbayeva – Head, Good Governance and Sustainable Development Unit, UNDP
9. Aida Alzhanova – UNFPA Assistant Representative
10. Malin Herwig- Poverty Reduction Team Chief, UNDP
11. Bayan Akhmetzhanova – President, NGO Ardager
UNDP Task Force: 13. Shynar Imangaliyeva – Human Development Programme coordinator, UNDP
14. Togzhan Assan – Programme Assistant, UNDP
Technical Support:Layout – Pavel Lyachin
Taimas Publishing House
Maps and fi gures – Lada Nikolayenko
Russian text edited – Valentina Semykina
Translated and edited in English - Seamus Bennett
Translated and edited in Kazakh – Kaisar Zhorabekov
N.Bube’s Kazakh Yurt painting was reproduced in the Report
THE 2005 NATIONAL HUMAN DEVELOPMENT REPORT
NATIONAL HUMAN DEVELOPMENT REPORT – 2005
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FOR NOTES